Budounoki Clinic, Saga, Japan.
Department of General Medicine, Saga University Hospital, Saga, Japan.
BMJ Case Rep. 2021 Jan 11;14(1):e238462. doi: 10.1136/bcr-2020-238462.
An 81-year-old woman who underwent percutaneous endoscopic gastrostomy (PEG) a year before, after cerebral infarction was receiving home medical care. The first accidental PEG tube removal occurred after clinic hours, and the home-care doctor visited her home to quickly reinsert the tube. After the narrowed fistula was dilated, the tube was reinserted with a guide wire. An X-ray taken with a CALNEO Xair, which is an easily portable X-ray system launched in 2018, confirmed that the tip of the PEG tube was successfully placed in the stomach. A similar accidental removal occurred 2 months later, and we managed it in the same way. Both events were resolved with a single radiograph without significant difficulty. With in-home medical care, PEG tube replacement can be performed easily and safely with a handy portable X-ray system.
一位 81 岁的女性，一年前因脑梗死接受了经皮内镜胃造口术（PEG），目前在家中接受医疗护理。第一次意外 PEG 管脱出发生在就诊时间之外，家庭医生到她家中迅速重新插入管子。在狭窄的瘘管扩张后，使用导丝重新插入管子。使用 2018 年推出的易于携带的 Xair 型 CALNEO 拍摄 X 光片，确认 PEG 管尖端成功放置在胃部。两个月后发生了类似的意外脱出事件，我们以同样的方式进行了处理。两次事件都通过单次 X 光片解决，没有明显的困难。使用家庭医疗护理，便携式 X 光系统可轻松、安全地更换 PEG 管。
