Korean J Gastrointest Endosc > Volume 37(3); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(3): 231-234.
위루술 후 위루관 이동에 의해 발생한 급성 췌장염 1예
전남대학교 의과대학 내과학교실
A Case of Acute Pancreatitis Caused by the Migration of a Feeding Gastrostomy Tube
Sung Kyun Kim, M.D., Chang Hwan Park, M.D., Yong Chan Cho, M.D., Jun Eul Hwang, M.D., Won Jung Jun, M.D., Hyen Soo Kim, M.D., Sung Kyu Choi, M.D. and Jong Sun Rew, M.D.
Department of Internal Medicine, Chonnam National University College of Medicine, Gwangju, Korea
A feeding gastrostomy tube is used to provide chronic nutritional support for patients who have a swallowing disability. Serious complications associated with feeding gastrostomy are rare. However, dislocation of the gastrostomy tube into the duodenum can lead to serious complications. There have been 7 reports in which the gastrostomy tube used for enteral feeding was associated with acute pancreatitis. But there have been no reports of pancreatitis associated with feeding gastrostomy in Korea. Further, all the reported cases were associated with both pancreatitis and cholangitis secondary to the compression of the major papilla by the percutaneous endoscopic gastrostomy tube. To the best our knowledge, this is the first report of acute pancreatitis, without cholangitis, that was induced by the compression of migrating surgical gastrostomy tube. Herein, we report on a case of a 68-year-old Korean male diagnosed with acute pancreatitis, and this was induced by the migration of a surgical gastrostomy tube. (Korean J Gastrointest Endosc 2008; 37:231-235)
Key Words: Gastrostomy, Gastrostomy tube, Pancreatitis
주요어: 위루술, 위루관, 췌장염
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