Obeidat Adham E, Mahfouz Ratib, Darweesh Mohammad R, Lim Herbert
Internal Medicine, University of Hawaii, Honolulu, USA.
Internal Medicine, Kent Hospital, Warwick, USA.
Cureus. 2021 Oct 9;13(10):e18635. doi: 10.7759/cureus.18635. eCollection 2021 Oct.
In patients with a functional gastrointestinal (GI) tract, enteral feeding is preferred over parenteral feeding as it has fewer complications and a relatively lower cost. Nasogastric and nasoenteric feeding tubes are available options but when long-term enteral feeding is desired, a percutaneous endoscopic gastrostomy (PEG) tube is more convenient. PEG tube can be associated with multiple complications; however, its displacement which causes gastric outlet obstruction (GOO) is a rare one. Here we present a case of an 81-year-old woman with dementia who presented with upper GI bleeding and was found to have GOO causing reflux esophagitis due to PEG tube displacement.
对于胃肠道功能正常的患者，肠内营养优于肠外营养，因为其并发症较少且成本相对较低。鼻胃管和鼻肠管是可行的选择，但如果需要长期肠内营养，经皮内镜下胃造口术（PEG）管则更为方便。PEG管可能会引发多种并发症；然而，其导致胃出口梗阻（GOO）的移位情况较为罕见。在此，我们报告一例81岁患有痴呆症的女性患者，该患者出现上消化道出血，经检查发现因PEG管移位导致GOO并引起反流性食管炎。
