TY - JOUR
T1 - Esophageal bezoar formation due to solidification of enteral feed administered through a malpositioned nasogastric tube
T2 - Case report and review of the literature
AU - Tawfic, Qutaiba Amir
AU - Bhakta, Pradipta
AU - Date, Rohit Raman
AU - Sharma, Pradeep Kumar
PY - 2012/12
Y1 - 2012/12
N2 - Enteral feeding is now standard and routine practice in intensive care. The use of a nasogastric tube for enteral feeding is generally considered to be safe, but tubes with small bores can sometimes lead to aspiration or passage clogging when malpositioned in sedated patients who are on long-term mechanical ventilation. Thus, accurate confirmation of correct placement is mandatory in such patients. This is not always the case, but this faulty practice can lead to serious complications in the absence of potential bezoar-forming medicines or gastrointestinal pathology. We present here one such interesting case of a patient who developed esophageal bezoar due to a malpositioned nasogastric tube for administering a casein-containing feed. In addition, we present a review of the literature.
AB - Enteral feeding is now standard and routine practice in intensive care. The use of a nasogastric tube for enteral feeding is generally considered to be safe, but tubes with small bores can sometimes lead to aspiration or passage clogging when malpositioned in sedated patients who are on long-term mechanical ventilation. Thus, accurate confirmation of correct placement is mandatory in such patients. This is not always the case, but this faulty practice can lead to serious complications in the absence of potential bezoar-forming medicines or gastrointestinal pathology. We present here one such interesting case of a patient who developed esophageal bezoar due to a malpositioned nasogastric tube for administering a casein-containing feed. In addition, we present a review of the literature.
KW - bezoars
KW - enteral nutrition
KW - esophagus
KW - nasogastric tube
UR - http://www.scopus.com/inward/record.url?scp=84873412600&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84873412600&partnerID=8YFLogxK
U2 - 10.1016/j.aat.2012.12.002
DO - 10.1016/j.aat.2012.12.002
M3 - Article
C2 - 23385044
AN - SCOPUS:84873412600
SN - 1875-4597
VL - 50
SP - 188
EP - 190
JO - Acta Anaesthesiologica Taiwanica
JF - Acta Anaesthesiologica Taiwanica
IS - 4
ER -