Intramucosal Esophageal Perforation with Nasogastric Tube

Coronel, Mark; Sideridis, Kostas; Bank, Simmy

doi:10.14309/00000434-200509001-00508

Cited by 1 publication

(3 citation statements)

References 0 publications

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“…Endoscopic and histologic changes were related to duration of mucosal contact (51). Acute upper gastrointestinal bleeding secondary to submucosal passage can occur (52). Perforations of the hypopharynx, esophagus, and stomach constitute more serious forms of injury.…”

Section: Mechanical Erosion Ulceration and Bleedingmentioning

confidence: 99%

“…Mucosal injury with submucosal tunnel or “bridge” formation is an uncommon complication of NET placement (52, 55 –58). Risk factors for this complication include septal deviation, presence of artificial airway, comatose patient, esophageal tumor, traumatic injury, and use of rigid stylets (55, 56).…”

Section: Submucosal Passagementioning

confidence: 99%

“…When these signs are present, tube removal with another placement attempt can be considered if there is minimal or no bleeding and a low degree of suspicion (55). Significant bleeding combined with a moderate or high degree of suspicion for injury should prompt direct laryngoscopy, esophagoscopy, or gastroscopy (52, 55, 56, 58). Once injury is recognized/confirmed, further diagnostic and therapeutic steps may be warranted due to the risk of associated esophageal perforation (55 –58).…”

Section: Submucosal Passagementioning

confidence: 99%

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Nasoenteric Tube Complications

et al. 2012

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the use of nasoenteric tubes (Nets) is ubiquitous, and clinicians often take their placement, function, and maintenance for granted. Nets are used for gastrointestinal decompression, enteral feeding, medication administration, naso-biliary drainage, and specialized indications such as upper gastrointestinal bleeding. morbidity associated with Nets is common, but frequently subtle, mandating high index of suspicion, clinical vigilance, and patient safety protocols. common complications include sinusitis, sore throat and epistaxis. more serious complications include luminal perforation, pulmonary injury, aspiration, and intracranial placement. Frequent monitoring and continual re-review of the indications for continued use of any Net is prudent, including consideration of changing goals of care. this manuscript reviews Net-related complications and associated topics.

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Section: Mechanical Erosion Ulceration and Bleedingmentioning

confidence: 99%