Gastric perforation in an adult male following nasogastric intubation

Daliya, Prita; Tj, White; Makhdoomi, K. R.

doi:10.1308/003588412x13171221502347

Cited by 15 publications

(16 citation statements)

References 10 publications

(11 reference statements)

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“…We also strongly believe that the injury may be associated with nasogastric tube based on the visualisation of tube protrusion through the stomach defects during exploratory laparotomy. Perhaps it was related to pressure ischemia exerted on stomach mucosa by nasogastric tube suction and by relatively rigid nasogastric tubes [ 10 ]. Other proposed mechanisms include direct effect of intraperitoneal chemotherapy [ 11 ] and thermal injury caused by inflow and outflow catheters during infusion of HIPEC [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Gastric perforation following cytoreductive surgery and perioperative intraperitoneal chemotherapy: a case series of six

et al. 2017

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BackgroundIncidence of gastric perforation following cytoreductive surgery (CRS) and perioperative intraperitoneal chemotherapy (PIC) is not widely reported.MethodsSuitable patients were identified from our database of 1028 procedures. Relevant information was then gathered via medical records and operation reports for these patients.ResultsSix patients suffered early postoperative gastric perforation following the procedure (0.58%), all of whom received heated intraoperative intraperitoneal chemotherapy (HIPEC). Surgical exploration revealed protrusion of nasogastric (NG) tube through stomach wall defects which were either located at or near the greater curvature of stomach. These patients were managed successfully with operation, and no mortality was recorded.ConclusionsGastric perforation following CRS and PIC is most likely the result of a multifactorial process. To reduce the risk of such complication, avoiding nasogastric suction in these patients may prove helpful. Any suspected perforated viscus must be addressed promptly to avoid unwanted morbidity and mortality from the procedure. To our knowledge, conservative management has not been documented to work in this subgroup and surgery remains the mainstay of treatment.

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Section: Discussionmentioning

confidence: 99%

Gastric perforation following cytoreductive surgery and perioperative intraperitoneal chemotherapy: a case series of six

et al. 2017

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“…Burad et al [ 17 ] and Hirshoren et al [ 18 ] both reported serious soft tissue injuries prompting intervention and subsequent intensive care evaluation post-procedure. Gastric perforation was described by Daliya et al [ 19 ] and Hynh et al [ 20 ]; both resulted in diagnostic re-operations and consequent surgical repair. Other high morbidity complications, including esophageal perforation, were identified as well.…”

Section: Resultsmentioning

confidence: 99%

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

Long

Machan

Tollinche

2017

OJAnes

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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.

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“…Because the pathology is progressive, we also considered administration of steroids for early treatment. However, due caution is required for the administration of steroids in cases where differentiation between inflammatory and noninflammatory arteriopathy is difficult because it can increase vascular fragility [3][4][5][6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Case of fibromuscular dysplasia with multiple aneurysms in a young woman

Yanishi

Kasahara

Nakamura

et al. 2015

Journal of Cardiology Cases

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Arterial diseases with multiple aneurysms are roughly divided into inflammatory and noninflammatory arteriopathy. Greatly different treatment polices are applied to these two types of arteriopathy while diagnosis is often highly difficult. Fibromuscular dysplasia (FMD) is a type of noninflammatory arteriopathy which predominantly affects women aged from 15 to 50 years and the clinical conditions are still unknown. Arterial lesions of FMD are most commonly found in renal arteries and patients are sometimes diagnosed with intractable hypertension. This time we experienced an FMD patient who presented with abdominal pain as her chief complaint but her contrast-enhanced computed tomography (CT) scanning revealed ruptured hepatic artery aneurysms while her angiogram was notable for multiple aneurysm formation. We had a great difficulty in diagnosing her but reached a definite diagnosis based on pathological findings of annular ulcers of the small intestine which had developed as a complication. We are reporting this case because it is a very rare case even with reference to preceding papers.

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Gastric perforation in an adult male following nasogastric intubation

Cited by 15 publications

References 10 publications

Gastric perforation following cytoreductive surgery and perioperative intraperitoneal chemotherapy: a case series of six

Gastric perforation following cytoreductive surgery and perioperative intraperitoneal chemotherapy: a case series of six

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

Case of fibromuscular dysplasia with multiple aneurysms in a young woman

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