一例罕见的严重腹泻病例：经皮内镜下胃造瘘管移位导致胃结肠瘘
A Rare Case of Severe Diarrhea: Gastrocolic Fistula Caused by Migration of Percutaneous Endoscopic Gastrostomy Tube.
作者信息
Pugliese Maria Elena, Battaglia Riccardo, Cerasa Antonio, Lucca Lucia Francesca
机构信息
Severe Acquired Brain Injury Unit, S'Anna Institute, 88900 Crotone, Italy.
Institute for Biomedical Research and Innovation (IRIB), National Research Council of Italy (CNR), 98164 Messina, Italy.
出版信息
Healthcare (Basel). 2023 Apr 28;11(9):1263. doi: 10.3390/healthcare11091263.
Gastrocolic fistula is a rare complication of the percutaneous endoscopic gastrostomy (PEG) placement procedure. This complication occurs due to penetration of interposed colon when a PEG tube is placed into the stomach. It can go unrecognized, becoming evident only when a tube replacement is performed or tube migration occurs. We report a case of severe, intractable diarrhea occurring about one month after the PEG procedure in a patient with severe traumatic brain injury. We present our case and discuss its significance with the aim of raising clinicians' awareness of this rare condition.
胃结肠瘘是经皮内镜下胃造口术（PEG）置管过程中罕见的并发症。这种并发症是由于在将PEG管置入胃内时穿透了其间的结肠所致。它可能未被识别，仅在进行换管或发生导管移位时才变得明显。我们报告一例严重创伤性脑损伤患者在PEG术后约一个月出现严重顽固性腹泻的病例。我们展示该病例并讨论其意义，旨在提高临床医生对这种罕见病症的认识。
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