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经皮内镜下胃造口管插入术后直肠出血

Rectal Bleeding after Insertion of a Percutaneous Endoscopic Gastrostomy Tube.

作者信息

Alhazmi Ghadeer, Alsabri Mroj, Alsuwat Shahad, Al-Zangabi Adnan, Al-Zahrani Abdulaziz, Shariff Mohammed Kareemulla

机构信息

College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

Digestive Diseases, Liver Center and Advanced Endoscopy Center, King Abdullah Medical City, Makkah, Saudi Arabia.

出版信息

Case Rep Gastroenterol. 2020 Nov 30;14(3):637-643. doi: 10.1159/000510164. eCollection 2020 Sep-Dec.

DOI:10.1159/000510164
PMID:33442343
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7772837/
Abstract

Iatrogenic injury to an internal organ such as the stomach, colon, small bowel, or liver after percutaneous endoscopic gastrostomy (PEG) tube insertion is a rare complication. We present a case of rectal bleeding due to colon injury during PEG tube placement. This required urgent exploratory laparoscopic surgery with segmental resection of the transverse colon and replacement of the PEG tube. Postoperatively, the patient significantly improved with time and tolerated PEG tube feeding.

摘要

经皮内镜下胃造口术（PEG）置管后对胃、结肠、小肠或肝脏等内脏器官造成医源性损伤是一种罕见的并发症。我们报告一例PEG置管期间因结肠损伤导致直肠出血的病例。这需要紧急进行腹腔镜探查手术，切除横结肠的一部分并更换PEG管。术后，患者随时间推移明显好转，并耐受PEG管喂养。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d70/7772837/35ea54e11d1a/crg-0014-0637-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d70/7772837/cb0baa7caf4c/crg-0014-0637-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d70/7772837/35ea54e11d1a/crg-0014-0637-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d70/7772837/cb0baa7caf4c/crg-0014-0637-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d70/7772837/35ea54e11d1a/crg-0014-0637-g02.jpg

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本文引用的文献

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Complications and early mortality in percutaneous endoscopic gastrostomy placement in lombardy: A multicenter prospective cohort study.经皮内镜胃造口术在伦巴第地区的并发症和早期死亡率：一项多中心前瞻性队列研究。
Dig Liver Dis. 2019 Oct;51(10):1380-1387. doi: 10.1016/j.dld.2019.03.024. Epub 2019 Apr 20.
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Gastrocolocutaneous Fistula: An Unusual Case of Gastrostomy Tube Malfunction with Diarrhea.胃结肠皮肤瘘：胃造瘘管功能障碍伴腹泻的罕见病例
Clin Endosc. 2018 Mar;51(2):196-200. doi: 10.5946/ce.2017.062. Epub 2017 Aug 31.
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Complications of percutaneous endoscopic gastrostomy.
经皮内镜下胃造口术的并发症
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Colonic injury following percutaneous endoscopic-guided gastrostomy insertion.经皮内镜引导下胃造口术插入术后的结肠损伤
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Multidisciplinary practical guidelines for gastrointestinal access for enteral nutrition and decompression from the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, with endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE).介入放射学会和美国胃肠病学会（AGA）研究所发布的关于胃肠道肠内营养和减压通路的多学科实用指南，得到加拿大介入放射学会（CIRA）和欧洲心血管和介入放射学会（CIRSE）的认可。
J Vasc Interv Radiol. 2011 Aug;22(8):1089-106. doi: 10.1016/j.jvir.2011.04.006. Epub 2011 Jul 22.
7
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