Ciaccia D, Quigley R L, Shami P J, Grant J P
Nutr Clin Pract. 1994 Feb;9(1):18-21. doi: 10.1177/011542659400900118.
A case is presented of migration of a gastrostomy feeding tube (Foley type) through the pylorus with duodenal obstruction and subsequent retrograde intussusception. Although feeding tube migration is not uncommon, retrograde intussusception of the jejunum into the duodenum is rare. In this case, surgery was required with resection of a segment of necrotic bowel. Recommendations are given for treatment of this unusual complication with emphasis on its avoidance through use of a retaining bar or disc at the tube's skin exit site.
本文报告了一例胃造口喂养管(Foley型)经幽门迁移并导致十二指肠梗阻及随后发生逆行套叠的病例。尽管喂养管迁移并不罕见,但空肠逆行套叠入十二指肠却很少见。在该病例中,需要进行手术切除一段坏死肠管。针对这种不寻常的并发症给出了治疗建议,重点强调通过在喂养管皮肤出口处使用固定杆或圆盘来避免该并发症。