Zafar Mansoor, Saddler Florence, Parvin Joe, Hennebry Eleanor, Pereira Rayanna, Austin Mark
Gastroenterology, Hepatobiliary, Hepatology, Royal Sussex County Hospital, University Hospitals Sussex NHS Foundation Trust, Brighton, GBR.
Infectious Diseases and General Internal Medicine, Royal Sussex County Hospital, University Hospital Sussex NHS Foundation Trust, Brighton, GBR.
Cureus. 2022 Aug 11;14(8):e27870. doi: 10.7759/cureus.27870. eCollection 2022 Aug.
Gastro-jejunostomy tubes, or percutaneous endoscopic gastrostomy tubes with jejunal extension (PEG-J), hold a significant role in the long-term nutritional management of patients with poor oral intake. This can be for a variety of reasons; ranging from metabolic conditions, including diabetes mellitus, inherited or congenital conditions like Ehler Danlos syndrome, or patients with neurological disorders, such as stroke, advanced Parkinson's disease or multiple sclerosis. Although they are very helpful for the overall nutritional needs of such patients, they are associated with complications, including the dislodging of jejunal tubes. The need to promptly recognise, investigate and manage this, in a timely manner, is vital, particularly during the COVID-19 pandemic times, as such patients may be associated with multiple comorbidities.
胃空肠造口管，即带有空肠延长段的经皮内镜下胃造口管（PEG-J），在经口摄入量少的患者的长期营养管理中发挥着重要作用。原因多种多样，包括代谢性疾病，如糖尿病；遗传性或先天性疾病，如埃勒斯-当洛综合征；或神经系统疾病患者，如中风、晚期帕金森病或多发性硬化症。尽管它们对这类患者的整体营养需求非常有帮助，但也会引发并发症，包括空肠管移位。及时识别、调查并处理这一情况至关重要，尤其是在新冠疫情期间，因为这类患者可能伴有多种合并症。
