2016
DOI: 10.1016/j.iccn.2015.08.003
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Oesophageal bezoar as a complication of enteral nutrition in critically ill patients. Two case studies

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Cited by 7 publications
(3 citation statements)
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“…EN enables faster recovery by improving wound healing, enhancing and maintaining the function of the gastrointestinal tract and reducing the complications and length of ICU stay (Kreymann et al, ; Moreira and McQuiggan, ). On the other hand, the placement of a nasogastric tube and the administration of EN include a risk for a variety of complications as well, such as gastric overdistention with risk of aspiration (Erzincanli et al, ; Gil‐Almagro and Carmona‐Monge, ). Therefore, gastric residual volume (GRV) measurement is routinely used to evaluate nutritional tolerance, aspiration and gastro‐oesophageal reflux risk in patients receiving EN in the ICU (Marshall and West, ; Parrish and McClave, ).…”
Section: Introductionmentioning
confidence: 99%
“…EN enables faster recovery by improving wound healing, enhancing and maintaining the function of the gastrointestinal tract and reducing the complications and length of ICU stay (Kreymann et al, ; Moreira and McQuiggan, ). On the other hand, the placement of a nasogastric tube and the administration of EN include a risk for a variety of complications as well, such as gastric overdistention with risk of aspiration (Erzincanli et al, ; Gil‐Almagro and Carmona‐Monge, ). Therefore, gastric residual volume (GRV) measurement is routinely used to evaluate nutritional tolerance, aspiration and gastro‐oesophageal reflux risk in patients receiving EN in the ICU (Marshall and West, ; Parrish and McClave, ).…”
Section: Introductionmentioning
confidence: 99%
“…Recomendação como da American Society of Parenteral and Enteral Nutrition (1) e regulamentação brasileira (RDC n. 63/2000) (3) os profissionais e instituições (66) pode colaborar para que a criação de protocolos torne a assistência mais segura. Outro dado importante é a ausência de descrição dos desfechos clínicos dos pacientes em 13 estudos (9,(11)(12)14,(27)(28)31,33,36,38,47,(49)(50) , o que não permite conhecer o desdobramento do caso e mensurar a magnitude do EA.…”
Section: Discussionunclassified
“…It was resolved by removing the tube and washing the oesophagus with bicarbonate solution [ 3 ]. The use of pancreatic enzymes for the dissolution of the bezoar was also described [ 4 , 5 ]. In another case, a 69-year-old woman was under mechanical ventilation after cardiac arrest, receiving enteral nutrition by nasogastric tube; after misplacement of the tube, the reinsertion was difficult [ 6 ].…”
mentioning
confidence: 99%