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KMID : 1024320200100010134
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Journal of the Korean Dysphagia Society
2020 Volume.10 No. 1 p.134 ~ p.137
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Esophagostomy as an Alternative to Gastrostomy for Dysphagia in Muscular Dystrophy: A Case Repor
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Bae Jin-Seok
Kim Jong-Keun
Lim Jong-Youb
Jung Kang-Jae
Park Hyo-Sik
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Abstract
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Many people with muscular dystrophy develop dysphagia that can result in an inability to use the oral route in severecases. In such cases, an alternative feeding method is selected, including a nasogastric tube or a gastrostomy.
This case report describes a 40-year-old man with muscular dystrophy who was managed for swallowing difficultyand respiratory failure. Oromotor muscle weakness caused prolonged mealtimes, difficulty with swallowing a solidformdiet, aspiration signs, and weight loss. Consequently, an alternative feeding method was required. An abdominalradiograph showed massive aerophagia, and the transverse colon was located over the stomach. As a result, the coloninterfered with the puncture route, which could lead to colon perforation. Therefore, cervical esophagostomywas selected, where the patient obtained nutrition through a cervical esophagostomy tube. This case showed thatwhen gastrostomy cannot be performed due to aerophagia, cervical esophagostomy can successfully support nutritionfor the mid to long-term in muscular dystrophy patients.
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KEYWORD
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Muscular dystrophy, Dysphagia, Enteral nutrition, Cervical esophagostomy, Gastrostomy
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