Intestinal obstruction by a bezoar from tube feedings.

O'Neil, Howard K.; Hibbein, J F; Resnick, Daniel J.; Bass, E. M.; Aizenstein, Robert I.

doi:10.2214/ajr.167.6.8956580

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…In 1996, O’Neil et al[ 10 ] described the first and only non-operatively managed enteral feed bezoar. Their patient was 7 d out from a radical gastrectomy, when he developed high NG output volumes.…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal obstruction secondary to enteral nutrition bezoar: A case report

Siddens

Al-Habbal

Bhandari

2020

WJGS

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BACKGROUND Post-operative enteral nutrition via gastric or jejunal feeding tubes is a common and standard practice in managing the critically ill or post-surgical patient. It has its own set of complications, including obstruction, abscess formation, necrosis, and pancreatitis. We present here a case of small bowel obstruction caused by enteral nutrition bezoar. It is the second recorded incidence of this complication after pancreaticoduodenectomy in the medical literature. CASE SUMMARY The 70-year-old female presented to our institution for a pancreaticoduodenectomy (Whipple’s procedure) for pancreatic adenocarcinoma. On day 5 post-operative, having failed to progress and developing symptoms of small bowel obstruction, she underwent a computed tomography scan, which showed features of mechanical small bowel obstruction. Following this, she underwent an emergency laparotomy and small bowel decompression. The recovery was long and protracted but, ultimately, she was discharged home. A literature search of reports from 1966-2020 was conducted in the MEDLINE database. We identified eight articles describing a total of 14 cases of small bowel obstruction secondary to enteral feed bezoar. Of those 14 cases, all but 4 occurred after upper gastrointestinal surgery; all but 1 case required further surgical intervention for deteriorating clinical picture. The postulated causes for this include pH changes, a reduction in pancreatic enzymes and gastric motility, and the use of opioid medication. CONCLUSION Enteral feed bezoar is a complication of enteral feeding. Despite rare incidence, it can cause significant morbidity and potential mortality.

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Section: Discussionmentioning

confidence: 99%

Gastrointestinal obstruction secondary to enteral nutrition bezoar: A case report

Siddens

Al-Habbal

Bhandari

2020

WJGS

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“…Dear Editor, Digestive bezoars are a rare complication in intensive care unit (ICU) patients, although several cases in patients with enteral feeding have been described [1][2][3][4]. We describe a case of diffuse digestive bezoar including gastric, small bowel and colon localizations.…”

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confidence: 99%