Estenose esofágica por uso de sonda nasogástrica: reflexão sobre o uso indiscriminado

Abstract

-Background -The nasogastric tube is often used by clinicians and surgeons for various purposes. However, complications are described with its use, and more severe esophageal stenosis with high morbidity rates

Nasogastric tube insertion in anaesthetized patients: a comprehensive review

“…Lateral pressure on neck Fibroscopic guided [24] Radiology (GOLD standard) [33] Kinking and coiling of NGT (the most common complication of NGT placement) [45] Pulmonary insertion [8,9] Cooling of the tube Endotracheal tube guided placement [25] Auscultation of insuflated air [34] Tube decompression or beakage Tracheobronchial perforation, esophageal perforation and stenosis [10,11] Anterior displacement of larynx, lifting of thyroid cartilage…”

“…Using macintosh laryngoscope or glidescope with assistance of magill forceps [26,27] Ultrasonography Nose bleed Infectious complications [10] Neck flexion Uretral guidewire [25] Nex method [14,15] Sinusitis [46] And intracranial placementand central nervous system complications [48] Lateral head positioning I-gel [28,29] Under water vaccum effect [35] Parotitis [46] Nose erosion/ /nasal aral necrosis [49] Anterior displacement of the mandible (and a group of older techniques) [21] Proseal LMA [28,29] Aspirate colors [35] Sore throat Laryngeal edema with asphyxia…”

“…Practitioners employ their own routine techniques with different success rates in daily practice. Although an NGT is easy to insert most of the time, some patients suffer from complications after placement such as unwanted pulmonary insertion [8,9] esophageal perforation and stenosis [10,11] infectious complications [12] and even central nervous system complications [13]. Inserting the tip of the tube in the correct location is necessary for confirming its correct position [14].…”

Methods to determine the internal length of nasogastric feeding tubes: An integrative review

“…Important complications due to incorrect positioning of NGT have been reported (Agha and Siddiqui, 2011;Lyske, 2011;Ribeiro et al, 2011;Hanna et al, 2012;Isik et al, 2014;Schreiber et al, 2014). The use of the knowledge produced by experimental research is of extreme importance to avoid errors produced by employing methods for introducing NGT that are not scientifically sound.…”

“…If the tube migrates from the stomach into the esophagus or lung, there can be serious consequences, such as esophageal perforation (Isik et al, 2014), esophageal stenosis (Ribeiro et al, 2011), pneumothorax (Lyske, 2011); (Agha and Siddiqui, 2011), aspiration pneumonia (Xu and Li, 2011) and bronchopulmonary complications (Schreiber et al, 2014). In rare cases incorrect insertion of NGT may result in perforation of the brain (Hanna et al, 2012).…”