초록

Many people with muscular dystrophy develop dysphagia that can result in an inability to use the oral route in severecases. In such cases, an alternative feeding method is selected, including a nasogastric tube or a gastrostomy. This case report describes a 40-year-old man with muscular dystrophy who was managed for swallowing difficultyand respiratory failure. Oromotor muscle weakness caused prolonged mealtimes, difficulty with swallowing a solidformdiet, aspiration signs, and weight loss. Consequently, an alternative feeding method was required. An abdominalradiograph showed massive aerophagia, and the transverse colon was located over the stomach. As a result, the coloninterfered with the puncture route, which could lead to colon perforation. Therefore, cervical esophagostomywas selected, where the patient obtained nutrition through a cervical esophagostomy tube. This case showed thatwhen gastrostomy cannot be performed due to aerophagia, cervical esophagostomy can successfully support nutritionfor the mid to long-term in muscular dystrophy patients.

키워드

Muscular dystrophy, Dysphagia, Enteral nutrition, Cervical esophagostomy, Gastrostomy

참고문헌(15)open

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