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Accession number;03A0083019
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| Title;Experience in execution of PTEG (percutaneous trans esophageal gastro-tubing) for the case in which the endoscopic gastric fistula construction method is difficult. |
| Author;
NOZOE YASUHIRO
(Kurume Univ., Fac. of Med.)
ONO TAKAYOSHI
(Shibetsuchokokuhobyoin)
MATSUNAGA KAZUKO
(Kurume Univ., Fac. of Med.)
TAKEO MASAAKI
(Kurume Univ., Fac. of Med.)
ARAKI YASUMITSU
(Kurume Univ., Fac. of Med.)
SHIROZU KAZUO
(Kurume Univ., Fac. of Med.)
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Journal Title;Japanese Journal of Clinical and Experimental Medicine
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Journal Code:Z0376B
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ISSN:0021-4965
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VOL.80;NO.1;PAGE.190-192(2003)
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| Figure&Table&Reference;FIG.5, REF.3 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;The case was a 59-year-old man, whose chief complaint was the exothermic reaction. The case had the disorder paralysis of limbs due to the hypoxic encephalopathia by accident under work. The case was caught by the pneumonia by erroneous deglutition under medical treatment at home. It was judged that the oral ingestion was impossible and percutaneous endoscopic gastrostomy (PEG) was carried out but the case caused the colon transversum fistula. Additional PEG was judged to be impossible from abdominal CT, etc., and percutaneous trans esophageal gastro-tubing (PTEG) of the low infestation was carried out. The postoperative intestinal palsy was improved. The intragastrine indwelling catheter was drawn by himself on the postoperative 60th day, but the reinsertion was possible since it was changed into fistula. Cervical nutrition for long term at home was also possible as well as PEG. From above described facts, PTEG was concluded to be the effective gastric fistula construction method for PEG non-adaptative cases as a cervical nutrition and decompression method. |
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