내시경하 위루술이 불가능한 뇌졸중 환자에서 투시 촬영 유도 위루술 시행
Percutaneous Radiologic Gastrostomy in Stroke Patient Who Failed for Endoscopic Gastrostomy
0
조회
0
다운로드
0
인용
0
참고문헌
초록
Percutaneous gastrostomy is an excellent alternative to parenteral and nasogastric feeding for patients unable to maintain adequate oral nutrition. Gastrostomy tubes can be placed surgically, endoscopically, and radiologically. Percutaneous endoscopic gastrostomy (PEG) continues to be more frequently performed than other methods. A 77-year-old man has kept the nasogastic tube for 3 months due to swallowing difficulty caused by cerebral infarction. Through the endoscope we could find that his stomach was positioned abnormally high. To avoid the potential injury on the other organs, we didn’t perform PEG. Con-sidering age and cardiovascular disease, surgical operations were also poor option, thus we tried percutaneous radiologic ga-strostomy (PRG). Unlike the PEG which punctures vertically along the light source by endoscope, PRG uses a fluoroscope and it is possible to insert an angled needle with the tube in left upper abdomen. In conclusion, PRG is recommended for the patients who fail for PEG. (Korean J Stroke 2008;10:45-47)
Abstract
Percutaneous gastrostomy is an excellent alternative to parenteral and nasogastric feeding for patients unable to maintain adequate oral nutrition. Gastrostomy tubes can be placed surgically, endoscopically, and radiologically. Percutaneous endoscopic gastrostomy (PEG) continues to be more frequently performed than other methods. A 77-year-old man has kept the nasogastic tube for 3 months due to swallowing difficulty caused by cerebral infarction. Through the endoscope we could find that his stomach was positioned abnormally high. To avoid the potential injury on the other organs, we didn’t perform PEG. Con-sidering age and cardiovascular disease, surgical operations were also poor option, thus we tried percutaneous radiologic ga-strostomy (PRG). Unlike the PEG which punctures vertically along the light source by endoscope, PRG uses a fluoroscope and it is possible to insert an angled needle with the tube in left upper abdomen. In conclusion, PRG is recommended for the patients who fail for PEG. (Korean J Stroke 2008;10:45-47)
참고문헌 (7)
- Roy PM, "Percutaneous radiologic gastrostomy versus nasogastric tube in critically ill patients", Clin Nutr, 24, pp.321~325 (2005)
- Wollman B, "Radiologic, endoscopic, and surgical gastrostomy: an institutional evaluation and meta-analysis of the literature", Radiology, 197, pp.699~704 (1995)
- Martino R, "Dysphagia after stroke: incidence, diagnosis, and pulmonary complications", Stroke, 36, pp.2756~2763 (2005)
- Wanklyn P, "Outcome in patients who require a gastrostomy after stroke", Age Ageing, 24, pp.510~514 (1995)
- Allison MC, "Percutaneous endoscopic gastrostomy tube feeding may improve outcome of late rehabilitation following stroke", J R Soc Med, 85, pp.147~149 (1992)
- Thornton FJ, "Percutaneous gastrostomy in patients who fail or are unsuitable for endoscopic gastrostomy", Cardiovasc Intervent Radiol, 23, pp.279~284 (2000)
- Silas AM, "Percutaneous radiologic gastrostomy versus percutaneous endoscopic gastrostomy: a comparison of indications, complications and outcomes in 370 patients", Eur J Radiol, 56, pp.84~90 (2005)