Advocate Lutheran General Hospital, Park Ridge, IL, USA.
J Investig Med High Impact Case Rep. 2020 Jan-Dec;8:2324709620975954. doi: 10.1177/2324709620975954.
Hyperemesis gravidarum is a common disease. Most patients are effectively treated with conservative measures, but gastric feeding and, rarely, post-pyloric feeding can be necessary. A 27-year-old woman, G3P2002, with a history of refractory hyperemesis in previous pregnancies, required placement of a nasojejunal tube but was removed due to an oropharyngeal ulcer. Endoscopic placement of a percutaneous endoscopic transgastric-jejunostomy (PEG-J) tube caused resolution of her symptoms. Twelve days after placement, the distal tube became dislodged and was endoscopically replaced with hemoclip anchoring in the jejunum. PEG-J tube placement is a safe and effective option for nutritional support in refractory hyperemesis gravidarum.
妊娠剧吐是一种常见疾病。大多数患者经保守治疗即可有效缓解，但有时需要胃内喂养，甚至罕见情况下需要幽门后喂养。一名 27 岁、G3P2002 的女性，既往妊娠时存在难治性妊娠剧吐，曾行鼻空肠管置管，但因发生口咽溃疡而拔除。经内镜放置经皮内镜下胃空肠造口术（PEG-J）管后，其症状缓解。置管 12 天后，远端管脱出，经内镜用止血夹固定于空肠内。PEG-J 管置管是治疗妊娠剧吐的一种安全有效的营养支持方法。
