경피 내시경하 위루술 후 발생한 좌위동맥 가성동맥류 파열 1예
A Case of Ruptured Left Gastric Artery Pseudoaneurysm Complicating Percutaneous Endoscopic Gastrostomy (PEG)
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초록
경피 내시경하 위루술(percutaneous endoscopic gastrostomy, PEG)은 연하곤란, 뇌졸중, 파킨슨씨병, 치매, 두경부 악성종양 환자에게 경장영양을 공급할 수 있는 효과적인 방법이다. PEG 시술은 일반적으로 이환율과 사망률이 낮은 안전한 시술로 알려져 있다. PEG 시술의 알려진 합병증들은 주로 경증으로 창상감염, 소구누출, 출혈, 장마비, 기복증, 흡인성 폐렴 등이 있다. 저자들은 73세 여자에서 PEG 시술 후 좌위동맥 가성동맥류 파열을 경험하여 보고하며, PEG 시술과 동반된 혈관파열에 대한 성공적인 혈관색전술을 기술한 국내 최초 보고라는데 의의가 있다.
Abstract
Percutaneous endoscopic gastrostomy (PEG) is an effective method for delivering enteral nutrition to patients with dysphagia, cerebrovascular accidents, Parkinsonnism, dementia, and head and neck cancer. PEG is generally regarded as safe and it is associated with low risks of morbidity and mortality. The complications of the PEG are known to be mostly minor and they include wound infection, gastric leakage, bleeding, ileus, pneumoperitoneum and aspiration pneumonia. We recently experienced a ruptured pseudoaneurysm of the left gastric artery, which was occurred as a complication during PEG insertion in a 73-year-old female. To the best of our knowledge, this is the first case report in Korea about successful angiographic embolization for a ruptured pseudoaneurysm of the left gastric artery and this was associated with a PEG procedure.
참고문헌 (10)
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