Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: "Jejunal perforation caused by a feeding jejunostomy tube: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Jejunal perforation caused by a feeding jejunostomy tube: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Jejunal perforation caused by a feeding jejunostomy tube a case report Nicholas A Stylianides Ravindra S Date Kishor G Pursnani and Jeremy B Ward Address Department of Gastrointestinal Surgery Lancashire Teaching Hospital NHS Foundation Trust Preston Road Chorley Lancashire PR7 1PP UK Email Nicholas A Stylianides - nickstylianides@hotmail.com Ravindra S Date - ravidate@hotmail.com Kishor G Pursnani - kish.pursnani@lthtr.nhs.uk Jeremy B Ward - jeremy.ward@lthtr.nhs.uk Corresponding author Published 30 June 2008 Received 27 December 2007 Journal of Medical Case Reports 2008 2 224 doi 10.1186 1752-1947-2-224 Accepted 30 June 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 224 2008 Stylianides et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Percutaneous endoscopic gastrostomy and feeding jejunostomy are used for providing long-term nutritional support to patients with neurological disorders. Various mechanical complications of these procedures are described. Case presentation We report a case of a 17-year-old boy with cerebral injury who had a percutaneous endoscopic gastrostomy tube changed to a feeding jejunostomy tube. Twenty-four hours later he developed abdominal pain and became clinically septic. A contrast study through the feeding tube and a subsequent computed tomography scan did not reveal any intra-abdominal pathology. At laparotomy it was discovered that the tip of the feeding tube had perforated through the jejunal wall and was lying outside the lumen. This was successfully treated by re-inserting a feeding jejunostomy tube distally and closure of the perforation and previous FJ site .