http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례 : 소화기 ; 해부학적 이상 환자에서 시행한 복강경 유도 경피적내시경위조루술
박상훈 ( Sang Hoon Park ),이정록 ( Jeong Rok Lee ),임종구 ( Jong Gu Lim ),박종훈 ( Jong Hoon Park ),윤형석 ( Hyung Suk Yoon ),이정화 ( Jung Hwa Lee ),유준식 ( Jun Sik Yu ) 대한내과학회 2014 대한내과학회지 Vol.87 No.3
Percutaneous endoscopic gastrostomy (PEG), which was first introduced in 1980, was quickly adopted for use in pediatric and adult patients. However, problems such as severe kyphoscoliosis, interposed organs, or other forms of distorted anatomy, may prevent effective and safe PEG tube placement. In such cases, laparoscopy-assisted PEG (LAPEG) is a useful optional procedure for patients with distorted anatomy and an initial unsuccessful PEG attempt. Furthermore, less invasive measures are preferable over surgical gastrostomy. We present a 27-year-old-male patient with severe kyphoscoliosis and a history of PEG-related complications with a colocutaneous fistula appearing 10 months earlier in whom a feeding tube was successfully placed by LAPEG. There were no LAPEG-related complications in the perioperative period, either technical or metabolic. After discharge, the patient was effectively fed using the bolus method. (Korean J Med 2014;87:318-322)