Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
권호 표지

Diagnosis of a Transverse Colon Penetration and Tube Displacement 4 Months after Percutaneous Radiologic Gastrostomy

방사선 투시 위루술 후 4개월만에 발견된 횡행결장 관통 및 위루관의 이탈 1예

  • Hong, Jong-Sam (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Han, Koon-Hee (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Lee, Hong-Yeul (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Park, Jong-Kyu (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Lee, Sang-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Young-Don (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Jeong, Woo-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Cheon, Gab-Jin (Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 홍종삼 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 한군희 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 이홍렬 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 박종규 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 이상진 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 김영돈 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 정우진 (울산대학교 의과대학 강릉아산병원 소화기내과학교실) ;
  • 천갑진 (울산대학교 의과대학 강릉아산병원 소화기내과학교실)
  • Published : 2011.01.30
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Abstract

Percutaneous radiologic gastrostomy (PRG) is an enteral nutritional method that can be applied to a patient with dysphagia due to cerebrovascular accident, Parkinsonism, dementia, or head and neck cancer. PRG is a safe and cost-effective method with low morbidity and mortality rates compared with surgical gastrostomy, because it require less sedation and less invasive placement technique. PRG complications include wound infections, peritonitis, tube malfunctions, peristomal leakage, bleeding, ileus, pneumoperitoneum, aspiration pneumonia, and bowel perforation. But, bowel perforation after PRG is rare. We recently experienced a case of transverse colon penetration and tube displacement, which occurred as a PRG complication in a 60-year-old male with a cerebrovascular accident.

방사선 투시 위루술은 연하곤란, 뇌혈관 사고, 파킨슨병, 치매, 두경부 종양으로 인해 장기간 영양공급이 필요한 환자에게 시술하는 경장영양 방법 중 하나이다. 방사선 투시 위루술은 경피적 내시경하 위루술과 함께 수술적 위루술에 비해 전신 마취가 필요 없어 상대적으로 효과적이며 안전한 시술법이다. PRG의 합병증으로 창상감염, 위액 누출, 기복증, 출혈, 장마비, 영양관 기능이상, 흡인 폐렴 등이 있다. 저자들은 뇌경색과 모야모야병으로 인한 실어증, 연하곤란, 기관흡인 증상으로 PRG를 시행한 60세 남자에서 시술 4개월 후 빈번한 설사 증상으로 시행한 대장내시경검사로 횡행결장을 관통하여 시술된 위루관 및 위루관의 이탈을 진단한 증례를 경험하여서 문헌고찰과 함께 보고한다.

Keywords

References

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