鼻胃管胃內打結之處置—病例報告

Management of Nasogastric Tube Knotting in the Stomach - Case Report

郭明得(Ming-Der Kuo) ； 陳建銓(Jiann-Chyuan Chen) ； 李憲彥(Shiann-Yuann Lee)

《中華民國耳鼻喉科醫學會雜誌》 29卷6期 (1994/12) Pp. 565-569

https://doi.org/10.6286/1994.29.6.565

摘要

鼻胃管 (nasogastric tube) 之使用是醫院日常作業中極為常見而傷害性小的一種醫療行為。一般而言，它很少造成不良影響。但由文獻報告中，偶爾可以發現一些罕見而較為嚴重的後遺症，鼻胃管打結 (nasogastric tube knotting) 即為其中之一。本文報告1名食道癌手術後之患者使用的鼻胃管打結於上提胃球 (pulled-up gastric bulb) 內而後經由食道鏡取出。因鼻胃管打結本屬罕見，而發生於此一特殊部位者，更是文獻紀錄中所未曾見；故特此提出報告與討論，並提供以食道鏡處理鼻胃管打結之經驗與相關技巧之體外模擬，以供參考。

關鍵字

鼻胃管打結 ； 食道鏡

並列摘要

Nasogastric tube insertion is one of the most common procedures performed in the daily hospital practice. It is usually easy and rarely does harms. Some complications have been reported, but nasogastric tube knotting is a rare one. We presented an unusual case that a nasogastric tube was found knotting in the pulled-up gastric bulb of a post-esophagectomy patient. The predisposing factors, diagnosis and management of nasogastric tube knotting were discussed and the associated literature was reviewed. Our experience in endoscopic management of such complications was also presentsd.

並列關鍵字

nasogastric tube knotting ； esophagoscope