Phytobezoar Associated with Levodopa-carbidopa Intestinal Gel Infusion in Patients with Parkinson's Disease: A Case Report and Literature Review

被引：2
|
作者：
Ueno, Tatsuya [1 ]
Hanabata, Norihiro [2 ]
Katagai, Atsuko [1 ]
Okudera, Rena [1 ,3 ]
Arai, Akira [1 ]
Tomiyama, Masahiko [4 ]
机构：
[1] Aomori Prefectural Cent Hosp, Dept Neurol, Aomori, Japan
[2] Aomori Prefectural Cent Hosp, Dept Gastroenterol, Aomori, Japan
[3] Natl Def Med Coll, Dept Internal Med, Div Neurol, Tokorozawa, Saitama, Japan
[4] Hirosaki Univ, Dept Neurol, Grad Sch Med, Hirosaki, Aomori, Japan
来源：
INTERNAL MEDICINE | 2021年 / 60卷 / 20期
关键词：
levodopa-carbidopa intestinal gel; parkinson's disease; phytobezoar; device-aided therapy; J-tube; gastrointestinal symptom; COMPLICATION;
D O I：
10.2169/internalmedicine.7210-21
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Continuous intrajejunal infusion of levodopa-carbidopa intestinal gel (LCIG) is an established device-aided therapy for advanced Parkinson's disease (PD). Phytobezoar associated with LCIG is a rare device-related complication and presents with exacerbations of gastrointestinal and PD symptoms. We herein report the case of a phytobezoar that was formed at a knot on the pigtail-shaped J-tube and developed only in association with postprandial abdominal pain, similar to a feeling of a tube being pulled in without an exacerbation of PD symptoms. Such abdominal pain may be a warning sign of phytobezoar in LCIG-treated patients. Despite device-related complications, high-pressure alarms are not always present, and PD symptoms are not always exacerbated.
引用
收藏
页码：3317 / 3320
页数：4
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