摘要
经皮内镜下胃/空肠造瘘术(PEG/J)是应对上消化道狭窄并梗阻时的一种有效的肠内营养管饲途径,该项手术具备安全、简便、效佳、经济等优势。强酸的摄入会使上消化道狭窄,胃腔挛缩变形,胃的位置发生偏移,给PEG/J操作带来极大的困难。该文报道1例63岁女性,因误服强酸致上消化道严重狭窄、胃移位后艰难完成PEG/J,成功行肠内营养,以供临床医生借鉴参考。
Percutaneous endoscopic gastrojejunostomy(PEG/J)is an effective enteral nutrition tube feeding approach for upper gastrointestinal stenosis complicated with obstruction,which is a safe,convenient,efficacious and economical procedure.The intake of a strong acid will cause upper gastrointestinal tract stenosis,stomach cavity contracture deformation,and stomach position change,which brings significant challenges to PEG/J.In this article,a 63-year-old female patient suffered from severe upper gastrointestinal stricture and gastric position change caused by accidental administration of strong acid.PEG/J was performed in this patient by overcoming significant challenges.Subsequently,she successfully received enteral nutrition.This case may provide certain reference for clinicians.
作者
周洋
刘碧璇
何雅军
文运
王腾燕
舒建昌
Zhou Yang;Liu Bixuan;He Yajun;Wen Yun;Wang Tengyan;Shu Jianchang(Graduate School of Guizhou Medical University,Guiyang 550025,China)
出处
《新医学》
CAS
2023年第11期837-840,共4页
Journal of New Medicine
基金
广州市临床重大技术项目(2019ZD19)
广东省卫生健康适宜技术推广项目(173)。
关键词
腐蚀性损伤
上消化道狭窄
幽门梗阻
经皮内镜下胃/空肠造瘘术
酸
Corrosive injury
Upper gastrointestinal tract stenosis
Pyloric obstruction
Percutaneous endoscopic gastrojejunostomy
Acid
