| 방사선 투시 위루술 후 4개월만에 발견된 횡행결장 관통 및 위루관의 이탈 1예 |
| 홍종삼ㆍ한군희ㆍ이홍렬ㆍ박종규ㆍ이상진ㆍ김영돈ㆍ정우진ㆍ천갑진 |
| 울산대학교 의과대학 강릉아산병원 소화기내과학교실 |
| Diagnosis of a Transverse Colon Penetration and Tube Displacement 4 Months after Percutaneous Radiologic Gastrostomy |
| Jong Sam Hong, M.D., Koon Hee Han, M.D., Hong Yeul Lee, M.D., Jong Kyu Park, M.D., Sang Jin Lee, M.D., Young Don Kim, M.D., Woo Jin Jeong, M.D. and Gab Jin Cheon, M.D. |
| Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea |
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| Abstract |
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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. (Korean J Gastrointest Endosc 2011;42:52-56) |
| Key Words:
Percutaneous radiologic gastrostomy, Colon penetration |
| 주요어:
방사선 투시 위루술, 횡행결장 관통 |
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