Tube Rupture and Extrusion after Percutaneous Endoscopic Gastrostomy Managed by Immediate Endoscopic Tube Replacement: Report of a Case

經皮內視鏡胃造口管破裂併脫出以內視鏡立即再置入：一病例報告

林連豐(Lian-Feng Lin) ； 蘇信豪(Shing-Haur Su) ； 葛光中(Kuang-Chung Ko) ； 蔡亞敏(Ya-Min Tsai)

《中華民國消化系醫學雜誌》 16卷4期 (1999/12) Pp. 270-274

https://doi.org/10.6557/GJTb.199912_16(4).0004

摘要

一72歲男性榮民因患有食道癌而為食道阻塞所苦，經予施行內視鏡食道擴張術後再施行經皮內視鏡胃造口術（拉出式），置放一22Fr之胃造口管子。38小時後胃造口管子意外地被病人扯出，並有一段留在胃內。在給予禁食及抗生素後，我們立即再以內視鏡方法從原來之胃穿孔處置放另一經皮內視鏡胃造口管子。術後經皮內視鏡胃造口處癒合良好，胃造口管子功能正常，也沒有腹膜炎發生。四個月後該病患死於吸入性肺炎。依據以往之文獻報告，經皮內視鏡胃造口術後早期發生胃造口管子脫出的處理方法，應優先考慮再次的內視鏡胃造口術。

關鍵字

內視鏡胃造口術 ； 胃造口管子破裂 ； 胃造口管子脫出

並列摘要

We reported a 72 y/o male patient who suffered from esophageal obstruction due to esophageal carcinoma. Percutaneous endoscopic gastrostomy was performed after endoscopic esophageal dilatation. However patient pulled out the gastrostomy tube accidentally 38 hours after this procedure, rupture of the tube with internal bumper retained in the gastric lumen occurred. After replacement of another gastrostomy tube by endoscopic method, the gastrostomy did well without episode of peritonitis and patient survived for 4 months finally. Reviewing the cases reported in the literature, endoscopic replacement of gastrostomy tube should be firstly considered in case of immediate gastrostomy tube extrusion after percutaneous endoscopic gastrostomy.

並列關鍵字

percutaneous endoscopic gastrostomy ； tube rupture ； tube extrusion