Nasogastric tube syndrome induced by an indwelling long intestinal tube

Sano, Naoki; Yamamoto, Masayoshi; Nagai, K.; Yamada, Keiichi; Ohkohchi, Nobuhiro

doi:10.3748/wjg.v22.i15.4057

Cited by 16 publications

(20 citation statements)

References 15 publications

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“…Though more NGTS cases attributing to NGT have been reported, only two reports have shown NGTS induced by nasointestinal ileus tube except our case, [1][2][3][4][5][6][7][8] The proposed mechanisms is tissue injury caused by continuous pressure on the region of physiologic narrowing between hypopharynx and cervical esophagus. [2,9,10] Another possible mechanism would be a relationship between NGTS and gastroesophageal re ux due to supine position of the patient.…”

Section: Discussionmentioning

confidence: 62%

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Nasogastric Tube Syndrome; Severe Complication Associated with Nasointestinal ileus Tube: A Case Report and Literature Review

Taira

Fujiwara

Fukuhara

et al. 2020

Preprint

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BackgroundNasogastric tube syndrome induced by nasointestinal ileus tube is uncommon complication and potentially life-threatening complication. The early detection and proper treatment for NGTS is necessary.Case presentaionWe describe a case of a 78-year-old patient with this syndrome induced by nasointestinal ileus tube. The symptom of this syndrome was improved by immediate proper management. Immediate removal of tube and early recognition of symptom are the first step in treatment for this syndrome, in addition to initiation of steroids, proton pomp inhibitor and antibiotic therapy. The cause of NGTS is supposed to be a continuous pressure on hypopharynx and cervical esophagus.ConclusionsNasogastric tube syndrome should be considered in patients not only with nasogastric tube but also nasointestinal ileus tube. Early diagnosis and proper management for NGTS are important

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Section: Discussionmentioning

confidence: 62%

“…NGTS induced by nasointestinal ileus tube is also reported in addition to NGTS induced by NGT. [4] [5]…”

Section: Introductionmentioning

confidence: 99%

Nasogastric Tube Syndrome; Severe Complication Associated with Nasointestinal ileus Tube: A Case Report and Literature Review

Taira

Fujiwara

Fukuhara

et al. 2020

Preprint

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“…Complications such as pharyngeal discomfort, nasogastric syndrome, sinusitis, nasotracheal intubation, esophagitis, gastritis, and gastric bleeding may be encountered during the NG catheter insertion phase and in the short period after insertion. More serious complications in children fed with NG catheter for a long time; erosion of the nasal wings, knotting of the catheter in the esophagus or stomach, GER, pneumothorax, tracheoesophageal fistula may develop (11). For these reasons, gastrostomy techniques have been developed and started to be used as the gold standard in patients with chronic diseases where NG cannot be used for a long time.…”

Section: Discussionmentioning

confidence: 99%

Çocuklarda Tek Kesi Laparoskopik ve Açık Yaklaşım Gastrostomi Yöntemlerinin Karşılaştırılması

Kabaklıoğlu

Kaya

2020

Düzce Tıp Fakültesi Dergisi

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Aim: The aim of this study was to compare single incision laparoscopic gastrostomy (SILG) with open surgery in children. Material and Methods: Children who underwent laparoscopic and open gastrostomy surgeries between January 2016 and March 2020 were retrospectively evaluated. The data were arranged according to the patient's demographics, duration of surgery and anesthesia, time to start enteral feeding, and complications. For Stamm procedure, the abdomen was explored with an upper midline incision and a gastric tube was passed through a second incision. In the SILG method, only one incision was made. After inserting a camera was placed into a trocar, then a grasper was placed just next to the trocar. A part of stomach was removed through the incision. A foley catheter was placed visually into the lumen. Results: There was no statistically significant difference between operation times for both surgical groups (p=0.844); the same was true for anesthesia times (p=0.919). The time taken to initiate and reach full enteral nutrition differed significantly between two groups (p=0.005). In general, when all complications were evaluated, more complications were found in the open surgery group (p=0.077). A remarkable number of maintenance problems (65.6%) were observed in both groups. Conclusion: SILG is a technique that is not technically demanding and can be performed by any pediatric surgeon with experience in laparoscopy. Primary laparoscopic gastrostomy at the trocar insertion site can be performed easily and safely in all children with malnutrition due to low postoperative complication rates and applicable for all ages of children.

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“…Nasogastric tube decompression is commonly used for MBO. While traditional nasogastric tube decompression can decompress and drain the gastral cavity fully, the location of the nasogastric tube makes it difficult to effectively drain small intestinal contents and relieve the symptoms of intestinal obstruction, including abdominal pain and abdominal bloating (17)(18)(19). More importantly, traditional nasogastric tube decompression may not achieve the restoration of early enteral nutrition (2).…”

Section: Discussionmentioning

confidence: 99%

Fluoroscopy‑guided long intestinal tube placement for the treatment of malignant bowel obstruction

Lai

Yang

et al. 2019

Oncol Lett

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The aim of the present study was to investigate the safety and efficacy of long intestinal tube placement under fluoroscopic guidance for the treatment of malignant bowel obstruction (MBO). The cases of 74 patients with MBO who underwent long intestinal tube placement under fluoroscopic guidance during the period between June 2015 and October 2017 were reviewed. The clinical characteristics were retrospectively analysed with respect to efficacy, safety and outcome. Long intestinal tube placement was successfully completed in all 74 patients. The mean time required for tube placement was 31.09±16.25 min and the mean insertion depth of the tube was 153±39 cm. In 58 cases, the symptoms of abdominal pain, abdominal bloating and vomiting were greatly improved following 1-3 days of tube decompression. The symptoms of the remaining 16 patients were not effectively relieved following decompression. No serious complications were observed in any patients. Overall, for patients with severe MBO, long intestinal tube placement under fluoroscopic guidance appears to be an effective and safe treatment, and it may improve quality of life.

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Nasogastric tube syndrome induced by an indwelling long intestinal tube

Cited by 16 publications

References 15 publications

Nasogastric Tube Syndrome; Severe Complication Associated with Nasointestinal ileus Tube: A Case Report and Literature Review

Nasogastric Tube Syndrome; Severe Complication Associated with Nasointestinal ileus Tube: A Case Report and Literature Review

Çocuklarda Tek Kesi Laparoskopik ve Açık Yaklaşım Gastrostomi Yöntemlerinin Karşılaştırılması

Fluoroscopy‑guided long intestinal tube placement for the treatment of malignant bowel obstruction

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