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An unusual complication of nasogastric tube

Journal Volume 75 - 2012
Issue Fasc.4 - Letters
Author(s) Ibrahim Bıyıkoğlu, Seyfettin Köklü, Levent Filik, Bilal Ergül, Namık özcan, Serdar Köseoğlu
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(1) Deparment of Gastroenterology, Ankara, Turkey ; (2) Department of Anesthesiology and Reanimation, Ankara Education and Research Hospital, Ankara, Turkey.

Multiple case reports of complications of malposi- tioned feeding tubes continue to surface. Most are due to inadvertent placement in the respiratory tract. Isolated reports of a nasally placed tube entering the brain follow- ing head injury continue to occur, as do reports of esophageal and gastric perforation in neonates. A recent study showed that malpositioned tubes are not routinely recorded in risk management databases (1). But maybe the most important complication of nasogastric tubes (NGT) is GI bleeding. It has been reported that pro- longed use of NGT can even result in life-threatening aortoesophageal fistula formation in patients with a double aortic arch (2). Herein we report a case with a buried NGT and GI hemorrhage after the unsuccessful attempt to remove the NGT.

© Acta Gastro-Enterologica Belgica.
PMID 23402096