上消化道严重腐蚀伤后完成经皮内镜下胃/空肠造瘘术一例  

Application of percutaneous endoscopic gastrojejunostomy in treatment of severe corrosive injury of the upper gastrointestinal tract:a case report

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)

机构地区：[1]贵州医科大学研究生院,贵阳550025 [2]南方医科大学顺德医院消化内科,顺德528308 [3]暨南大学附属广州市红十字会医院检验科,广州510220 [4]暨南大学附属广州市红十字会医院消化内科,广州510220

出　　处：《新医学》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)。

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.

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 

分 类 号：R656[医药卫生—外科学]