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KMID : 0931320200200040324
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대한상부위장관.헬리코박터학회지
2020 Volume.20 No. 4 p.324 ~ p.327
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Duodenal Decubitus Ulcer Caused by Percutaneous Endoscopic Transgastric Jejunostomy Tube
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Kang Seok-In
Kim Yu-Ri
Na Hee-Kyong
Chung Sun-Ju
Lee Jeong-Hoon
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Abstract
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Percutaneous endoscopic gastrostomy (PEG) has substituted surgical gastrostomy for long-term enteral nutrition. Percutaneous endoscopic transgastric jejunostomy (PEG-J) entails placing a feeding tube into the jejunum through PEG. Unlike PEG, PEG-J is associated with complications caused by the jejunal extension tube. Herein, we report a rare complication of PEG-J. A 71-year-old woman who underwent PEG-J for the administration of carbidopa-levodopa, complained of epigastric pain, dyspepsia, and weight loss of more than 10% in 2 months. Esophagogastroduodenoscopy revealed a duodenal decubitus ulcer caused by the pressure from the jejunal extension tube. After removal of the PEG-J and a 4-week treatment with a proton pump inhibitor, the ulcer healed and the symptoms resolved.
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KEYWORD
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Duodenal ulcer, Gastrostomy, Jejunostomy, Pressure ulcer
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