Korean Journal of Gastrointestinal Endoscopy 1993;13(2): 371-374.
Replacement Balloon Gastrostomy Tube 착용후 발생한 심한 위궤양 출혈 1예 ( A Case of Severe Gastric Ulcer Bleeding after Exchange for Replacement Balloon Gastrostomy Tube in Percutaneous Endoscopic Gastrostomy )
정형근, 김영관, 동석호, 김효종, 김병호, 이정일, 장영운, 장린 (Hyung Keun Chung, Young Kwan Kim, Seok Ho Dong, Hyo Jong Kim, Byung Ho Kim, Jung Il Lee, Young Woon Chang and Rin Chang)
Abstract
PEG is a simple, safe and rapid method for the placement of feeding gastrostomy tube because of its low morbidity and mortality. Also, exchange of gastrostomy tube can be easily performed because several types of exchange tube, suich as replacement balloon gastrostomy tube are available. But, less has been known about complications of exchange tube. The authors experienced a case of severe gastric ulcer bleeding in seventy one years old male patient who had been suffered from melena after exchange of old PEG tube for replacement balloon gastrostomy tube. Gastroscopy showed bleeding from acute, large and deep ulcer on the body of stomach, and replacement tube tip directed to the center of ulcer. Bleeding was thought to be caused by gastric ulcer due to replacement balloon gastrostomy tube, After removal of tube and conservative management with H2 receptor antagonist, bleeding ceased
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