症例
胃切除後におけるPEDを行った1例～PEDとPTEGの比較～
2020 年 97 巻 1 号 p. 87-89
詳細
2020 年 97 巻 1 号 p. 87-89
In our hospital, percutaneous transesophageal gastro-tubing (PTEG) has been performed for patients with dysphagia in whom percutaneous endoscopic gastrostomy (PEG) would be challenging. We herein report a patient with a high risk of self-removal of the PTEG tube in whom percutaneous endoscopic duodenostomy (PED) was performed. A 62-year-old woman suffered cerebral infarction. She had undergone distal gastrectomy and Billroth-I reconstruction (BI) for early gastric cancer at the age of 56 years. PEG was not performed because the gastric remnant was found below the costal arch by transillumination. Instead, PED was performed by the pull method. PED and PTEG each have advantages and disadvantages. Hence, it is necessary to select the appropriate nutrition route depending on the characteristics of each case.
