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经皮内镜下胃造瘘管球囊移位致胃出口梗阻伴严重反流性食管炎1例罕见病例

A Rare Case of Gastric Outlet Obstruction With Severe Reflux Esophagitis Due to a Percutaneous Endoscopic Gastrostomy Tube Balloon Displacement.

作者信息

Obeidat Adham E, Mahfouz Ratib, Darweesh Mohammad R, Lim Herbert

机构信息

Internal Medicine, University of Hawaii, Honolulu, USA.

Internal Medicine, Kent Hospital, Warwick, USA.

出版信息

Cureus. 2021 Oct 9;13(10):e18635. doi: 10.7759/cureus.18635. eCollection 2021 Oct.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/8580185/479f56fc163f/cureus-0013-00000018635-i01.jpg

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