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经皮内镜下胃造口术后单穿刺胃壁固定装置移位致穿孔性腹膜炎 1 例

A Case of Perforated Peritonitis Caused by the Migration of a Single-Puncture Gastric Wall Fixation Device Following Percutaneous Endoscopic Gastrostomy.

作者信息

Kodama Yuu, Mizokami Yuji, Nishizawa Hidemitsu, Maeda Gen, Kimura Gen, Toyama Yuzo, Asahara Shingo, Nagahama Ryuji, Sunagawa Hideki

机构信息

Department of Gastroenterology ShinTokyo Hospital Chiba Japan.

Department of Gastroenterology New Tokyo Hospital Chiba Japan.

出版信息

DEN Open. 2025 Jun 10;6(1):e70159. doi: 10.1002/deo2.70159. eCollection 2026 Apr.

DOI:10.1002/deo2.70159
PMID:40496092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12151681/
Abstract

We report an uncommon case of perforated peritonitis resulting from the migration of a single-puncture gastric wall fixation device following percutaneous endoscopic gastrostomy. An 83-year-old male developed acute peritonitis 6 days post-procedure, requiring emergency surgery. One fixation device was found embedded in the abdominal wall, and gastric perforation was identified. To our knowledge, this is the first reported case of peritonitis caused by T-fastener migration outside the gastric wall.

摘要

我们报告了一例罕见的经皮内镜下胃造口术后单穿刺胃壁固定装置移位导致的穿孔性腹膜炎病例。一名83岁男性在术后6天发生急性腹膜炎，需要紧急手术。发现一个固定装置嵌入腹壁，并确定存在胃穿孔。据我们所知，这是首例关于T形钉在胃壁外移位导致腹膜炎的报道病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/f8b0dcd136ba/DEO2-6-e70159-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/56a540ad7495/DEO2-6-e70159-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/cdda8a9e2077/DEO2-6-e70159-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/3d918d9d7833/DEO2-6-e70159-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/f8b0dcd136ba/DEO2-6-e70159-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/56a540ad7495/DEO2-6-e70159-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/cdda8a9e2077/DEO2-6-e70159-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/3d918d9d7833/DEO2-6-e70159-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b716/12151681/f8b0dcd136ba/DEO2-6-e70159-g001.jpg

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本文引用的文献

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Clinical practice guidelines for percutaneous endoscopic gastrostomy.经皮内镜下胃造口术临床实践指南
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Randomized Controlled Trial of Percutaneous Radiologic Gastrostomy Performed With and Without Gastropexy: Technical Success, Patient-Reported Outcomes and Safety.经皮放射学胃造口术与胃固定术联合与不联合应用的随机对照试验：技术成功率、患者报告结局和安全性。
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亚历克西斯·圣马丁胃固定术：经皮内镜胃造口管置入术中胃固定的一种新技术。
Surg Laparosc Endosc Percutan Tech. 2019 Apr;29(2):e20-e23. doi: 10.1097/SLE.0000000000000616.
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World J Gastroenterol. 2016 Jan 14;22(2):618-27. doi: 10.3748/wjg.v22.i2.618.
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