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Duodenal Pressure Necrosis in a Child Caused by a Migrated Percutaneous Endoscopic Gastrostomy
J. Melek, M. Štanclová, R. Štichhauer, P. Rozsíval, J. Kopřiva, J. Dědková, E. Terifajova, E. Šedivá, P. Dědek, S. Skálová, J. Bureš
Jazyk angličtina Země Česko
Typ dokumentu kazuistiky, časopisecké články
Digitální knihovna NLK
Zdroj
NLK
Directory of Open Access Journals
od 1997
Free Medical Journals
od 1997
Open Access Digital Library
od 1997-01-01
Medline Complete (EBSCOhost)
od 2012-06-01
ROAD: Directory of Open Access Scholarly Resources
od 1997
- MeSH
- duodenum patologie MeSH
- enterální výživa MeSH
- gastroskopie MeSH
- gastrostomie škodlivé účinky MeSH
- lidé MeSH
- nekróza etiologie MeSH
- nemoci duodena etiologie chirurgie MeSH
- odstranění implantátu MeSH
- perforace střeva etiologie chirurgie MeSH
- předškolní dítě MeSH
- selhání protézy škodlivé účinky MeSH
- tlak škodlivé účinky MeSH
- zaváděcí katétry škodlivé účinky MeSH
- Check Tag
- lidé MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
A two-year-old girl with two weeks of abdominal pain, vomiting, and food refusal, ten months after percutaneous endoscopic gastrostomy insertion because of inadequate peroral intake, was admitted to a tertiary centre hospital. On admission, the extracorporeal part of the gastrostomy was much shortened. X-ray examination revealed migration of the end of the gastrostomy tube with a left-shifted course of the tube through the duodenum. Gastroscopy and subsequently laparotomy were performed. A longitudinal pressure necrosis was identified under the tube, with two perforations in the duodenojejunal region. Ten centimeters of that duodenojejunal region were resected, and end-to-end anastomosis was made. The migration of the gastrostomy was probably caused by insufficient care by the parents. Pathophysiologically, the tube caused the pressure necrosis in the duodenojejunal area; this was supported by histology. This is a hitherto undescribed complication of a percutaneous endoscopic gastrostomy, showing that migration of the gastrostomy to the deeper part of the small bowel can lead to pressure necrosis, a potentially life-threatening condition in children which cannot be treated without invasive procedures.
Department of Pediatrics Charles University Faculty of Medicine in Hradec Králové
Department of Radiology Charles University Faculty of Medicine in Hradec Králové
Citace poskytuje Crossref.org
Literatura
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