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논문 기본 정보

자료유형
학술저널
저자정보
Juyung Joung (Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea) Jeeyeon Baek (독립연구자) Sun Hyung Kang (Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea) Hee Seok Moon (Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine) Jae Kyu Sung (Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea) Hwan Jung Yun (Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea)
저널정보
대한상부위장관 헬리코박터학회 Korean Journal of Helicobacter Upper Gastrointestinal Research Korean Journal of Helicobacter Upper Gastrointestinal Research 제24권 제1호
발행연도
2024.3
수록면
72 - 76 (5page)
DOI
10.7704/kjhugr.2023.0060

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An 82-year-old man diagnosed with supraglottic cancer sought a consultation for percutaneous endoscopic gastrostomy (PEG) placement. Preoperative chest radiography (posterior-anterior [PA] view) revealed no abnormalities, and PEG tube placement was performed using the “pull” method. Chest radiography (PA view) performed 3 days postoperatively showed free air that was not observed immediately after PEG tube placement; therefore, the patient was diagnosed with pneumoperitoneum. Abdominal computed tomography confirmed that the PEG tube was appropriately positioned within the stomach; however, the colon was observed between the abdominal wall and stomach, which indicated that the PEG tube had passed through the colon. Review of preoperative chest radiographs (PA views) confirmed that the colon was visualized in the area wherein usually stomach gas should have been observed. The patient was diagnosed with a gastro-colo-cutaneous fistula that occurred postoperatively, following a procedure that was performed without confirmation of anatomical variations. The PEG tube was removed surgically, and we performed percutaneous gastrostomy.

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