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胃造瘘管移位至十二指肠继发急性梗阻性胰腺炎。

Acute obstructive pancreatitis secondary to migration of a gastrostomy tube into duodenum.

作者信息

Yanagisawa Waka, Oh Daniel DongKuen, Perera Dinushi, Rodrigues Sebastian

机构信息

Department of General Surgery Dubbo Hospital Dubbo New South Wales Australia.

Central Clinical School University of Sydney Sydney New South Wales Australia.

出版信息

Clin Case Rep. 2022 Feb 4;10(2):e05405. doi: 10.1002/ccr3.5405. eCollection 2022 Feb.

DOI:10.1002/ccr3.5405
PMID:35140974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8815092/
Abstract

Percutaneous endoscopic gastrostomy (PEG) tube is a common procedure. This discusses the rare complication of acute pancreatitis, due to tube migration, causing obstruction of the ampulla of Vater. Radiological confirmation of tubes prior to the usage may aid in preventing this reversible complication.

摘要

经皮内镜下胃造口术（PEG）置管是一种常见的操作。本文讨论了一种罕见的并发症，即由于胃造口管移位导致壶腹梗阻而引发的急性胰腺炎。使用前通过影像学检查确认胃造口管位置，可能有助于预防这种可逆转的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc4/8815092/05650f9ec6ad/CCR3-10-e05405-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc4/8815092/c7bfa9cec0ef/CCR3-10-e05405-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc4/8815092/159ec30195fd/CCR3-10-e05405-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc4/8815092/05650f9ec6ad/CCR3-10-e05405-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc4/8815092/c7bfa9cec0ef/CCR3-10-e05405-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc4/8815092/159ec30195fd/CCR3-10-e05405-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bc4/8815092/05650f9ec6ad/CCR3-10-e05405-g003.jpg

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本文引用的文献

1
Obstructive Acute Pancreatitis Secondary to PEG Tube Migration.经皮内镜下胃造口术（PEG）管移位继发梗阻性急性胰腺炎
ACG Case Rep J. 2016 Nov 9;3(4):e150. doi: 10.14309/crj.2016.123. eCollection 2016 Aug.
2
Percutaneous endoscopic gastrostomy: indications, technique, complications and management.经皮内镜下胃造口术：适应证、技术、并发症及处理
World J Gastroenterol. 2014 Jun 28;20(24):7739-51. doi: 10.3748/wjg.v20.i24.7739.
3
Acute pancreatitis and cholangitis: a complication caused by a migrated gastrostomy tube.急性胰腺炎和胆管炎：胃造瘘管移位引起的一种并发症。
World J Gastroenterol. 2007 Oct 21;13(39):5285-7. doi: 10.3748/wjg.v13.i39.5285.
4
Obstructive jaundice and pancreatitis secondary to percutaneous endoscopic gastrostomy tube migration.经皮内镜下胃造瘘管移位继发梗阻性黄疸和胰腺炎
J Gastroenterol Hepatol. 2005 Nov;20(11):1802-3. doi: 10.1111/j.1440-1746.2005.04017.x.
5
Randomised comparison of percutaneous endoscopic gastrostomy and nasogastric tube feeding in patients with persisting neurological dysphagia.经皮内镜下胃造口术与鼻胃管喂养对持续性神经性吞咽困难患者影响的随机对照研究
BMJ. 1992 May 30;304(6839):1406-9. doi: 10.1136/bmj.304.6839.1406.