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BRAIN and NERVE Volume 74, Issue 3 （March 2022）

BRAIN and NERVE 74巻3号（2022年3月発行）

Japanese English

Case Report

Gastric Ulcer Caused by Contact with a Bumper Type Gastrostomy Tube in Amyotrophic Lateral Sclerosis: A Case Report Gastric Ulcer Caused by Contact with a Bumper Type Gastrostomy Tube in Amyotrophic Lateral Sclerosis: A Case Report Kenjiro Kunieda ¹ , Yuichi Hayashi ¹ , Hiroyuki Murase ^2,3 , Naoki Yamahara ⁴ , Takuya Kudo ⁵ , Jun Takada ³ , Akio Kimura ¹ , Takayoshi Shimohata ¹ Kenjiro Kunieda ¹ , Yuichi Hayashi ¹ , Hiroyuki Murase ^2,3 , Naoki Yamahara ⁴ , Takuya Kudo ⁵ , Jun Takada ³ , Akio Kimura ¹ , Takayoshi Shimohata ¹ ¹Department of Neurology, Gifu University Graduate School of Medicine ²Department of Gastroenterology, Gifu Prefectural General Medical Center ³Department of Gastroenterology／Internal Medicine, Gifu University Graduate School of Medicine ⁴Department of Internal Medicine, Matsunami General Hospital ⁵Department of Neurology, Hashima City Hospital ¹Department of Neurology, Gifu University Graduate School of Medicine ²Department of Gastroenterology, Gifu Prefectural General Medical Center ³Department of Gastroenterology／Internal Medicine, Gifu University Graduate School of Medicine ⁴Department of Internal Medicine, Matsunami General Hospital ⁵Department of Neurology, Hashima City Hospital キーワード： amyotrophic lateral sclerosis , gastric ulcer , percutaneous endoscopic gastrostomy , weight loss , anemia Keyword: amyotrophic lateral sclerosis , gastric ulcer , percutaneous endoscopic gastrostomy , weight loss , anemia pp.291-294

発行日 2022年3月1日 Published Date 2022/3/1

DOI https://doi.org/10.11477/mf.1416202028

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Abstract: An 86-year-old man was diagnosed with bulbar type of amyotrophic lateral sclerosis (ALS). He underwent a bumper-tube type of gastrostomy due to dysphagia 16 months after the onset of ALS. Twenty months after the onset, he developed dyspnea due to anemia. Upper gastrointestinal endoscopy showed a gastric ulcer contralateral to the gastrostomy site with bumper indentation from the gastrostomy tube. Patients with ALS might develop gastric ulceration due to mechanical stimulation with a percutaneous endoscopic gastrostomy tube.