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Limitations of Routine Verification of Nasogastric Tube Insertion Using X-ray and Auscultation: Two Case Reports of Life-Threatening Complications.
We present 2 cases of rare complications in which the routine verification methods could not detect all the complications related to the nasogastric tube placement. Case 1 was a 17-year-old male who presented with a brain tumor and repeatedly required nasogastric tube placement. Despite normal auscultatory and X-ray findings, the patient's condition deteriorated rapidly after resuming the enteral nutrition (EN). Computed tomography images showed the presence of hepatic portal venous gas (HPVG). Urgent upper gastrointestinal endoscopy showed esophagogastric submucosal tunneling of the tube that required an emergency open to...
Source: Nutrition in Clinical Practice - May 12, 2016 Category: Nutrition Authors: Nejo T, Oya S, Tsukasa T, Yamaguchi N, Matsui T Tags: Nutr Clin Pract Source Type: research