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经皮内镜下胃造口管置入术后严重复发性胃肠道出血：一种罕见的并发症。

Severe recurrent gastrointestinal bleeding following percutaneous endoscopic gastrostomy tube placement: a rare complication.

作者信息

Enofe Ikponmwosa, Rai Manoj P, Yam Julie L

机构信息

Department of Internal Medicine, Michigan State University, East Lansing, Michigan, USA.

Department of Gastroenterology, McLaren Greater Lansing, Lansing, Michigan, USA.

出版信息

BMJ Case Rep. 2019 Jun 21;12(6):e229851. doi: 10.1136/bcr-2019-229851.

DOI:10.1136/bcr-2019-229851
PMID:31229975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6605943/
Abstract

Severe bleeding requiring blood transfusions following endoscopic, percutaneous gastrostomy tube placement is a rare complication. We describe a case of severe recurrent haemorrhage with bright red blood from rectum from endoscopic, percutaneous gastrostomy tube placement, which ultimately required removal of the percutaneous endoscopic gastrostomy tube.

摘要

内镜下经皮胃造瘘管置入术后发生严重出血需要输血是一种罕见的并发症。我们描述了一例内镜下经皮胃造瘘管置入术后出现严重反复出血，伴有鲜红色直肠出血的病例，最终需要拔除经皮内镜胃造瘘管。

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BMJ Case Rep. 2019 Jun 21;12(6):e229851. doi: 10.1136/bcr-2019-229851.
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本文引用的文献

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Large oesophageal haematoma as a result of transoesophageal echocardiogram (TEE).经食管超声心动图（TEE）导致的巨大食管血肿。
BMJ Case Rep. 2017 Nov 8;2017:bcr-2017-223278. doi: 10.1136/bcr-2017-223278.
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Risk of bleeding in patients undergoing percutaneous endoscopic gastrotrostomy (PEG) tube insertion under antiplatelet therapy: a systematic review with a meta-analysis.接受抗血小板治疗的患者在经皮内镜下胃造口术（PEG）置管时的出血风险：一项系统评价与荟萃分析
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Can J Gastroenterol. 2011 Apr;25(4):201-6. doi: 10.1155/2011/609601.
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Acute hemorrhage following transhepatic PEG tube placement.经肝穿刺放置PEG管后急性出血
Dig Dis Sci. 2007 Jan;52(1):167-9. doi: 10.1007/s10620-006-9446-0. Epub 2006 Dec 14.
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Management of a traumatic gastric ulcer with a low-profile gastrostomy tube.使用低轮廓胃造口管治疗创伤性胃溃疡
Nutr Clin Pract. 2005 Feb;20(1):88-92. doi: 10.1177/011542650502000188.
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Gastroenterology. 1987 Jul;93(1):48-52.