Winters Maarten Wj, Kramer Sjoerd, Mazairac Albert Ha, Jutte Ewoud H, van Putten Paul G
Department of Gastroenterology and Hepatology, Medical Center Leeuwarden, Leeuwarden 8934 AD, Netherlands.
Department of Radiology, Medical Center Leeuwarden, Leeuwarden 8934 AD, Netherlands.
World J Gastrointest Surg. 2022 Jun 27;14(6):621-625. doi: 10.4240/wjgs.v14.i6.621.
In adults, bowel intussusception is a rare diagnosis and is mostly due to an organic bowel disorder. In rare cases, this is a complication of a percutaneously placed endoscopic gastro (jejunostomy) catheter.
We describe a case of a 73-year-old patient with a history of myocardial infarction, chronic idiopathic constipation and Parkinson's disease. For the admission of his Parkinson's medication, a percutaneous endoscopic gastrostomy with jejunal extension (PEG-J) was placed. The patient presented three times at the emergency department of the hospital with intermittent abdominal pain with nausea and vomiting. There were no distinctive abnormalities from the physical and laboratory examinations. An abdominal computed tomography scan showed a small bowel intussusception. By push endoscopy, a jejunal bezoar at the tip of the PEG-J catheter was found to be the cause of small bowel intussusception. The intussusception was resolved after removing the bezoar during push enteroscopy.
Endoscopic treatment of bowel intussusception caused by PEG-J catheter bezoar.
在成人中，肠套叠是一种罕见的诊断，主要由器质性肠道疾病引起。在极少数情况下，这是经皮放置的内镜胃（空肠造口术）导管的并发症。
我们描述了一例73岁患者，有心肌梗死、慢性特发性便秘和帕金森病病史。为了给他的帕金森病药物用药，放置了经皮内镜下胃造口术并延伸至空肠（PEG-J）。该患者三次到医院急诊科就诊，伴有间歇性腹痛、恶心和呕吐。体格检查和实验室检查均无明显异常。腹部计算机断层扫描显示小肠套叠。通过推进式内镜检查，发现PEG-J导管尖端的空肠粪石是小肠套叠的原因。在推进式肠镜检查期间取出粪石后，肠套叠得以解决。
内镜治疗由PEG-J导管粪石引起的肠套叠。
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