Korean J Gastrointest Endosc > Volume 43(1); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;43(1): 1-4.
경피적 내시경 위조루관 교환 후 발생한 식도 천공
허성욱ㆍ권중구ㆍ박경찬ㆍ류정일ㆍ주동욱ㆍ하경호ㆍ정진태ㆍ김호각
대구가톨릭대학교 의과대학 내과학교실
Esophageal Perforation after Change of a Percutaneous Endoscopic Gastrostomy Tube
Seong Wook Heo, M.D., Joong Goo Kwon, M.D., Kyoung Chan Park, M.D., Jung Il Ryu, M.D., Dong Uk Ju, M.D., Kyung Ho Ha, M.D., Jin Tae Jung, M.D. and Ho Gak Kim, M.D.
Department of Internal Medicine, Catholic University of Daegu College of Medicine, Daegu, Korea
Abstract
Percutaneous endoscopic gastrostomy (PEG) has become a widely used and safe method for long-term enteral feeding in patients who are unable to tolerate oral feeding. Although a number of complications can occur following PEG placement, most of these complications are not life threatening. Serious complications occur rarely after this procedure and they include peritonitis, visceral perforation, major gastrointestinal bleeding, and necrotizing fasciitis. An esophageal perforation following PEG placement is very rare and predisposing factors include Zenker's or epiphrenic esophageal diverticuli, esophageal strictures, and mass lesions. We recently experienced a case of distal esophageal perforation following a PEG tube change. The predisposing esophageal perforation factor in this case was uncertain, and we successfully treated the patient with surgical intervention. (Korean J Gastrointest Endosc 2011;43:1-4)
Key Words: Gastrostomy, Complications, Esophageal Perforation
주요어: 위조루술, 합병증, 식도 천공
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