2015年11月
Utility of Over-the-Scope Clipping for Closure of a Persistent Post-Percutaneous Endoscopic Gastrostomy Fistula under Long-Term Steroid Therapy.
Clinical endoscopy
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- 巻
- 48
- 号
- 6
- 開始ページ
- 563
- 終了ページ
- 5
- 記述言語
- 英語
- 掲載種別
- DOI
- 10.5946/ce.2015.48.6.563
A 50-year-old woman had a percutaneous endoscopic gastrostomy (PEG) tube placed after surgery for pharyngeal cancer. After 21 months, the PEG tube was removed due to improvement of per-oral ingestion. She had taken prednisolone for 31 years for systemic lupus erythematosus. The post-PEG fistula did not close spontaneously. The cause of the fistula was slow wound healing and gastrostomy site inflammation due to long-term steroid therapy. We were able to close the fistula with an over-the-scope clipping (OTSC) system. This case suggests that OTSC is useful for closing persistent post-PEG fistulas in patients receiving long-term prednisolone therapy.
- リンク情報
- ID情報
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- DOI : 10.5946/ce.2015.48.6.563
- PubMed ID : 26668806
- PubMed Central 記事ID : PMC4676652