Esophageal Perforation and Pneumothorax after Routine Intraoperative Orogastric Tube Placement

Turabi, Ali; Urton, Ron J.; Anton, Todd M.; Herrmann, Robin; Kwiatkowski, David M.

doi:10.1213/xaa.0000000000000019

Cited by 10 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For complicated cases, intravenous antibiotics, drainage of retropharyngeal abscess, and surgical repair may be necessary. [ 5 ] In our case, the pharyngeal tear was superficial, and hence, managed conservatively.…”

mentioning

confidence: 70%

Pharyngeal tear during gastric calibration tube insertion for laparoscopic sleeve gastrectomy

Arun

Sanjay

2016

Saudi J Anaesth

View full text Add to dashboard Cite

mentioning

confidence: 70%

Pharyngeal tear during gastric calibration tube insertion for laparoscopic sleeve gastrectomy

Arun

Sanjay

2016

Saudi J Anaesth

View full text Add to dashboard Cite

“…Other high morbidity complications, including esophageal perforation, were identified as well. A case report by Turabi et al had recounted multiple difficult unsuccessful GT insertion attempts that resulted in pneumothorax and an esophageal stent for the treatment of the iatrogenic tear [ 21 ]. Isik et al recounted an esophageal perforation from a perioperative GT insertion on post-operative day two [ 22 ].…”

Section: Resultsmentioning

confidence: 99%

Intraoperative Gastric Tube Intubation: A Summary of Case Studies and Review of the Literature

Long

Machan

Tollinche

2017

OJAnes

View full text Add to dashboard Cite

Study Objective Establish complications and risk factors that are associated with blind tube insertion, evaluate the validity of correct placement verification methods, establish the rationales supporting its employment by anesthesia providers, and describe various deployment facilitators described in current literature. Measurements An exhaustive literature review of the databases Medline, CINAHL, Cochrane Collaboration, Scopus, and Google Scholar was performed applying the search terms “gastric tube”, “complications”, “decompression”, “blind insertion”, “perioperative”, “intraoperative” in various order sequences. A five-year limit was applied to limit the number and timeliness of articles selected. Main Results Patients are exposed to potentially serious morbidity and mortality from blindly inserted gastric tubes. Risk factors associated with malposition include blind insertion, the presence of endotracheal tubes, altered sensorium, and previous tube misplacements. Pulmonary aspiration risk prevention remains the only indication for anesthesia-related intraoperative use. There are no singularly effective tools that predict or verify the proper placement of blindly inserted gastric tubes. Current placement facilitation techniques are perpetuated through anecdotal experience and technique variability warrants further study. Conclusion In the absence of aspiration risk factors or the need for surgical decompression in ASA classification I & II patients, a moratorium should be instituted on the elective use of gastric tubes.

show abstract

“…Ocimum Scientific Publishers 10.33513/OJSC/1901-07Open Journal of Surgery Case Reports usually injured with a mortality rate reaching 0.3% (Table1)[2,[5][6][7][8][9]. Philip Ryom et al,[2] retrospectively studied periods1997-2001 and 2002-2005 and reported that nasogastric tube insertion was the cause of esophageal perforations which occurred at 8% and 3% rate, respectively.There are several factors contributing to the risk of nasogastric tube misplacement, such as several unsuccessful attempts or head and neck position (Table2)[8,10,11].…”

mentioning

confidence: 99%

Cervical Esophagus Perforation Following Nasogastric Tube Insertion

Ltd¹

2019

OJSC

View full text Add to dashboard Cite

Nasogastric tubes are routinely inserted in clinical practice, followed by rare though possibly serious and life-threatening complications.Objective: To review the management of esophageal injury as a result of nasogastric tube insertion, we report the case of a 78-year-old critically ill male, who suffered massive subcutaneous emphysema as a result of inadvertent nasogastric tube insertion. Computed tomography and simple radiography confirmed nasogastric tube misplacement and left-side cervical esophageal perforation, which was surgically repaired.Results: This report outlines that even though the nasogastric tube placement technique is apparently simple, major complications, such as esophageal perforation, may occur. The risk increases in cases of difficult nasogastric tube insertion, where, even though several techniques are described, there is no consensus for a standard approach. Overall, early diagnosis is crucial and a multidisciplinary approach is essential to successfully manage the injury, thus reducing patients' morbidity and mortality.

show abstract

Esophageal Perforation and Pneumothorax after Routine Intraoperative Orogastric Tube Placement

Cited by 10 publications

References 8 publications

Pharyngeal tear during gastric calibration tube insertion for laparoscopic sleeve gastrectomy

Pharyngeal tear during gastric calibration tube insertion for laparoscopic sleeve gastrectomy

Intraoperative Gastric Tube Intubation: A Summary of Case Studies and Review of the Literature

Cervical Esophagus Perforation Following Nasogastric Tube Insertion

Contact Info

Product

Resources

About