慢性阻塞性肺疾病中的慢性咳嗽是否为经皮内镜下胃造口术置管的禁忌证：一例报告
May chronic cough in chronic obstructive pulmonary disease be a contraindication of Percutaneous Endoscopic Gastrostomy placement: a case report.
作者信息
Gravina A G, Tessitore A, Ormando V M, Nagar F, Romeo M, Amato M R, Dallio M, Loguercio C, Federico A, Romano M, Ferraro F
机构信息
Hepatogastropenterology Unit, Department of Precision Medicine, University of Campania "Luigi Vanvitelli", Via Pansini, 5, 80131, Naples, Italy.
Department of Medical, Surgical, Neurological, Metabolic and Geriatric Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
出版信息
BMC Gastroenterol. 2021 Jan 21;21(1):31. doi: 10.1186/s12876-021-01603-0.
BACKGROUND
Percutaneous Endoscopic Gastrostomy (PEG) can involve some complications, despite the good safety of its track record. The Buried Bumper Syndrome (BBS) is a rare, late and dangerous complication that consists in the erosion of the internal bumper through the gastric wall. Case presentation We report the development of BBS in a man with chronic obstructive pulmonary disease (COPD) who had a persistent chronic cough which was prevalently but not solely in the morning and required placement of a PEG tube for continuous infusion of Levodopa/carbidopa intestinal gel for advanced Parkinson's disease.
CONCLUSION
We believe that COPD with chronic cough while not representing an absolute contraindication to PEG placement, may potentially cause BBS and therefore an appropriate regimen of tube care by expert personnel is mandatory in this setting.
背景
经皮内镜下胃造口术（PEG）尽管有良好的安全记录，但仍可能出现一些并发症。埋藏式胃造口管综合征（BBS）是一种罕见、迟发性且危险的并发症，表现为内部胃造口管凸缘穿过胃壁造成侵蚀。病例报告 我们报告了一名慢性阻塞性肺疾病（COPD）男性患者发生BBS的情况，该患者持续存在慢性咳嗽，主要但并非仅在早晨出现，因晚期帕金森病需要置入PEG管以持续输注左旋多巴/卡比多巴肠溶胶。
结论
我们认为，伴有慢性咳嗽的COPD虽不构成PEG置入的绝对禁忌证，但可能会引发BBS，因此在这种情况下，由专业人员进行适当的造口管护理方案是必不可少的。
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