欧阳鹏 舒建昌

    510220 广州，暨南大学医学院附属广州市红十字会医院消化内科

    ·述评·

    包埋综合征的治疗进展

    欧阳鹏舒建昌

    510220 广州，暨南大学医学院附属广州市红十字会医院消化内科

    【摘要】自Gauderer等于1980年介绍经皮内镜下胃造瘘术以来, 其已被广泛应用于临床肠内营养支持和其它方面。随着经皮内镜下胃造瘘术被广泛使用，其各种并发症也逐渐被人们所关注，其中，包埋综合征(BBS)是经皮内镜下胃造瘘术的一种严重并发症，一旦发生，如果没有及时诊断及处理，可能导致进一步的严重后果如出血、穿孔、腹膜炎，甚至死亡等，故必须积极处理。目前有多种治疗BBS的方法，包括外部牵引取出、内镜下取出、腹腔镜下取出及外科手术取出。该文主要就BBS的治疗进展作一介绍。

    【关键词】包埋综合征；经皮内镜下胃造瘘术；外部牵引；内垫片；内镜；腹腔镜

    Research progress of treatment of buried bumper syndrome

    Ouyangpeng，ShuJianchang.

    DepartmentofGastroenterology,GuangzhouRedCrossHospitalAffiliatedtoMedicalCollegeofJi’nanUniversity，Guangzhou510220,China

    【Abatract】Since Gauderer introduced percutaneous endoscopic gastrostomy in 1980，this technique has been widely used in clinical enteral nutrition support and other aspects. As percutaneous endoscopic gastrostomy is widely used, its complications have been gradually concerned about. Buried bumper syndrome (BBS) is a serious complication of percutaneous endoscopic gastrostomy. Once it happened, and if not being diagnosed and treated timely, it may lead to further severe complications such as bleeding, perforation, peritonitis, and even death. BBS must be actively managed. There are various reports of processing methods for BBS ......