Smolár M, Mikolajčík A, Dedinská I, Hošala M, Laca Ľ
Rozhl Chir. 2019 Spring;98(5):219-222.
Percutaneous endoscopic gastrostomy (PEG) is one of the most effective methods of providing long-term enteral nutrition in patients with the impossibility of oral intake. Complications are relatively common. The most common is peristomal wound infection at the site of the insertion and leakage along the cannula. Lesscommon complications are colo-cutaneous fistulas and peritonitis. A very rare complication is liver abscess.
The authors describe a case of a 51-year-old man with a hepatic abscess with inoperable pharyngeal carcinoma with PEG. The patient was admitted to hospital with a developing septic condition due to a liver abscess. The liverabscess resulted from the buried bumper syndrome of the PEG and subsequent complete dislocation of the bumper into the left liver lobe area.. This condition was treated by a surgical review with abscess drainage and the construction of classical gastrostomy.
Buried bumper syndrome with its complications, such as a liver abscess is a relatively rare complication, but challenges both the diagnosis and therapy of the syndrome itself. Its management requires a close cooperation between a gastroenterologist and a surgeon. Early recognition and treatment can prevent the progression of the condition to sepsis or a septic shock, which can lead to death.
经皮内镜下胃造口术（PEG）是为无法经口摄入营养的患者提供长期肠内营养最有效的方法之一。并发症相对常见。最常见的是造口周围伤口感染以及沿套管渗漏。较不常见的并发症是结肠皮肤瘘和腹膜炎。一种非常罕见的并发症是肝脓肿。
作者描述了一例51岁男性患者，患有肝脓肿，同时患有无法手术的咽癌且接受了PEG治疗。患者因肝脓肿导致脓毒症而入院。肝脓肿是由PEG的埋藏式固定盘综合征以及随后固定盘完全移位至左肝叶区域所致。该病症通过手术检查进行治疗，包括脓肿引流和经典胃造口术的构建。
埋藏式固定盘综合征及其并发症，如肝脓肿，是一种相对罕见的并发症，但对该综合征本身的诊断和治疗都构成挑战。其处理需要胃肠病学家和外科医生密切合作。早期识别和治疗可防止病情发展为脓毒症或感染性休克，而这可能导致死亡。
