방사선 투시하 위루관에 의한 십이지장중첩증: 증례보고 (Duodenoduodenal Intussusception due to a Migrated Percutaneous Radiologic Gastrostomy Tube: A Case Report)

서지정보

· 발행기관 : 대한연하장애학회
· 수록지 정보 : 대한연하장애학회지 / 9권 / 1호 / 50 ~ 53페이지
· 저자명 : Ji Won Hong, 김상훈, Jin A Yoon, 신명준, 신용범

초록

Patients with dysphagia often have difficulty in supplying adequate nutrition orally, and thus they often use gastrostomyfor nutrition support. If the nutrition affects the deterioration of the disease, as in amyotrophic lateral sclerosis,the majority of patients will have a gastrostomy tube for proper nutrition. To prevent complications from gastrostomytubes, it is important to educate the caregiver or patient about how to properly manage it. If these patientsopt for home care because of financial or cultural reasons, it will be difficult for their healthcare team to observethem closely, leading to complications due to lax tube management. In this case, appropriate managementeducation becomes more important. This paper reports an extremely rare case of duodenal intussusception causedby a migrated percutaneous radiologic gastrostomy (PRG) tube in a patient with amyotrophic lateral sclerosis (ALS)using simultaneous oral and enteral nutrition. The patient was treated successfully with urgent tube removal usingthe air reduction maneuver. This case highlights the importance of gastrostomy management.

영어초록

Patients with dysphagia often have difficulty in supplying adequate nutrition orally, and thus they often use gastrostomyfor nutrition support. If the nutrition affects the deterioration of the disease, as in amyotrophic lateral sclerosis,the majority of patients will have a gastrostomy tube for proper nutrition. To prevent complications from gastrostomytubes, it is important to educate the caregiver or patient about how to properly manage it. If these patientsopt for home care because of financial or cultural reasons, it will be difficult for their healthcare team to observethem closely, leading to complications due to lax tube management. In this case, appropriate managementeducation becomes more important. This paper reports an extremely rare case of duodenal intussusception causedby a migrated percutaneous radiologic gastrostomy (PRG) tube in a patient with amyotrophic lateral sclerosis (ALS)using simultaneous oral and enteral nutrition. The patient was treated successfully with urgent tube removal usingthe air reduction maneuver. This case highlights the importance of gastrostomy management.

참고자료

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