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Duodenal Decubitus Ulcer Caused by Percutaneous Endoscopic Transgastric Jejunostomy Tube

강석인, 김유리, 나희경, 정선주, 이정훈,
소속 상세정보
강석인 ( Kang Seok-In ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
김유리 ( Kim Yu-Ri ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
나희경 ( Na Hee-Kyong ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology
정선주 ( Chung Sun-Ju ) - University of Ulsan College of Medicine Asan Medical Center Department of Neurology
이정훈 ( Lee Jeong-Hoon ) - University of Ulsan College of Medicine Asan Medical Center Department of Gastroenterology

Abstract


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.

키워드

Duodenal ulcer; Gastrostomy; Jejunostomy; Pressure ulcer

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