Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Rainer, F; Prenner, G; Binder, LP; Fickert, P; Plank, J.
Case of nasogastric tube dysfunction.
Gut. 2019; 68(2):206-262
Doi: 10.1136/gutjnl-2017-315619
(- Case Report)
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Rainer Florian
- Co-Autor*innen der Med Uni Graz
- Binder Lukas
- Fickert Peter
- Prenner Günther
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- Abstract:
- CLINICAL PRESENTATION: An elderly female patient was admitted to intensive care for prolonged vasopressor therapy and mechanical ventilation after cardiac arrest and acute percutaneous coronary intervention. Antiplatelet, thyroid hormone replacement and statin therapies were administered through a 14-French nasogastric tube (Nestlé Health Science) and enteral feeding was initiated. Correct position of the nasogastric tube was confirmed radiologically. On the seventh day in the intensive care, our patient was seen to regurgitate soft crumbs into her mouth. The blocked nasogastric tube was removed, but attempts to reinsert another tube failed.Upper GI endoscopy revealed an obstruction of the oesophagus with a milky-yellowish caseous substance 20 cm from the incisors (figure 1). The proximal part of the mass showed a central hole and ring-shaped layers resembling the cut face of a tree trunk.gutjnl;68/2/206/F1F1F1Figure 1Obstruction of the oesophagus with a milky-yellowish caseous substance. QUESTIONS: What caused the obstruction?How should we manage such a problem?
- Find related publications in this database (using NLM MeSH Indexing)
- Aged - administration & dosage
- Bezoars - diagnosis, etiology, therapy
- Enteral Nutrition - adverse effects
- Female - administration & dosage
- Gastroscopy - administration & dosage
- Humans - administration & dosage
- Intubation, Gastrointestinal - adverse effects
- Platelet Aggregation Inhibitors - administration & dosage
- Thyroid Hormones - administration & dosage