TAILIEUCHUNG - Practical Pediatric Gastrointestinal Endoscopy - part 7

Đôi khi là với sinh thiết gan qua da, biến chứng không thể tránh khỏi do giải phẫu bệnh nhân hoặc bệnh cơ bản và khả năng của những biến chứng này nên được thảo luận với cha mẹ trước khi các thủ tục nội soi. Báo cáo các biến chứng nhỏ mà có thể trở thành biến chứng chủ yếu | 124 CHAPTER 6 Fig. Buried bumper syndrome. The bumper of the gastrostomy tube is no longer in the stomach. However it remains in the abdominal wall close to the stomach. The shadow of the bumper is still visible. Fig. The gastrostomy tube is buried in the abdominal wall although the stoma remains open. This was confirmed by injection of small amount of saline. and recognition by the physicians performing the procedure that things are not going well with a decision to abort the procedure and precede with an open gastrostomy. Sometimes as with percutaneous liver biopsy complications are unavoidable due to patient anatomy or underlying disease and the possibility of these complications should be discussed with parents prior to the endoscopic procedure. Reported minor complications that can become major complications include cellulitis uncomplicated pneumoperitoneum tube defects disconnection GER granulation tissue at insertion site and pain at the insertion site. Reported major complications include gastrocolic fistula gastroileal fistula gastrocoloileal cutaneous fistula in-trahepatic placement duodenal hematoma complicated pneumoperitoneum aspiration peritonitis catheter complications including migration buried bumper syndrome Figs. partial gastric separation catheter bumper impaction if not retrieved intussusception secondary to catheter migration VP shunt infection gastric or bowel perforation and death. Late complications include gastrocolic fistula gastroileal fistula catheter migration buried bumper syndrome partial gastric separation gastric ulceration cellulitis fasciitis gastric or bowel perforation catheter migration or other catheter-related complications bronchoesophageal fistula following removal and aortic perforation following cut and pass technique . PEG tubes in children are not associated with a higher rate of subsequent revision when compared to surgically placed open gastrostomy tubes if tube revisions due to unrecognized bowel

Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.