Bassotti Gabrio, Castellani Danilo
Gastroenterology, Hepatology, and Digestive Endoscopy Section, Department of Medicine and Surgery, University of Perugia, 06123 Perugia, Italy.
Gastroenterology Unit, Perugia General Hospital, 06129 Perugia, Italy.
Clin Pract. 2023 Mar 23;13(2):483-486. doi: 10.3390/clinpract13020043.
Percutaneous endoscopic gastrostomy is the method of choice to allow enteral access in patients requiring long-term enteral nutrition. However, although generally safe, percutaneous tube positioning may be plagued by several complications. Among these, the deterioration and/or deflation of balloons serving as internal bolster is particularly worrisome in that it may lead to gastrostomy cannulas dislocation. Of interest, such balloon deflation may occur in up to 30% of cases for apparently unexplained causes. Here, we provide a hypothesis that could explain some of these causes.
经皮内镜下胃造口术是需要长期肠内营养的患者实现肠内营养通路的首选方法。然而，尽管通常是安全的，但经皮置管可能会出现多种并发症。其中，作为内部支撑的球囊恶化和/或放气尤其令人担忧，因为这可能导致胃造口套管移位。有趣的是，这种球囊放气在高达30%的病例中可能会出现，原因明显不明。在此，我们提出一种假说，可解释其中一些原因。
