Haemorrhagic exfoliative oesophagitis associated with nasogastric tube placement

2020 ◽  
Vol 13 (11) ◽  
pp. e237485
Author(s):  
Gota Sudo ◽  
Akira Goto ◽  
Takashi Fujisawa ◽  
Hiroshi Nakase

A 92-year-old man hospitalised for cerebral infarction developed haematemesis. The patient was taking low-dose aspirin and apixaban for his cerebral infarction and non-valvular atrial fibrillation. His enteral nutrition was administrated through nasogastric tube. Upper endoscopy revealed active bleeding from a protruded lesion in the upper oesophagus. The lesion was removed by washing with a water jet, followed by successful endoscopic haemostasis. Histopathological examination revealed degenerated squamous epithelium without specific findings; the diagnosis was exfoliative oesophagitis. In our case, mechanical mucosal injury caused by nasogastric tube placement may result in exfoliative oesophagitis. In addition, the use of low-dose aspirin with apixaban may have contributed to the bleeding. We then performed a wire-guided nasogastric tube placement under fluoroscopy. No further bleeding was observed, but the patient died of sepsis 1 month later. This case highlights the importance of a risk assessment and management of oesophageal complications associated with nasogastric tube placement.

2021 ◽  
Vol 5 (6) ◽  
pp. 84-88
Author(s):  
Hua Tang

Objective: To explore the effect of modified nasogastric tube placement and Rehabilitation New Liquid Spray in patients with indwelling gastric tube. Methods: Eighty-six cases with indwelling gastric tube in our hospital from January 2020 to May 2021 were randomly selected and divided into the reference group and the research group. The reference group was treated by modified gastric tube placement, and the research group was given the Rehabilitation New Liquid Spray intervention. The effect of the interventions on two groups was observed. Results: The incidence of nasal mucosal injury in the research group was lower than that in the reference group, and the incidence of pharyngeal mucosal injury in the research group was lower than that in the reference group (P < 0.05). The pain score of the study group was lower than that of the reference group at 8 h, 12 h and 24 h after replacement, and the incidence of hoarseness, swallowing discomfort and dry oropharynx was lower than that of the reference group (P < 0.05). Conclusion: The application of modified gastric tube placement and Rehabilitation New Liquid Spray intervention in patients with indwelling gastric tube can effectively reduce the nasopharyngeal injury and improve the pain of catheterization.


2011 ◽  
Vol 51 (7) ◽  
pp. 1079-1086 ◽  
Author(s):  
Masafumi Nishino ◽  
Mitsushige Sugimoto ◽  
Chise Kodaira ◽  
Mihoko Yamade ◽  
Takahiro Uotani ◽  
...  

2009 ◽  
Vol 136 (5) ◽  
pp. A-447
Author(s):  
Mitsushige Sugimoto ◽  
Masafumi Nishino ◽  
Chise Kodaira ◽  
Mihoko Yamade ◽  
Mutsuhiro Ikuma ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Yuji Shimada ◽  
Akihito Nagahara ◽  
Mariko Hojo ◽  
Daisuke Asaoka ◽  
Hitoshi Sasaki ◽  
...  

Background. We investigated the prevalence, symptoms, and QOL impact of esophageal (EI), gastric (GI), and duodenal mucosal injury (DI) individually between low-dose aspirin (LDA) users and nonusers to reveal the clinical features of LDA-related mucosal injury.Methods. Data were extracted from the records of subjects who underwent upper gastrointestinal endoscopy at our department between April 2008 and December 2013. Responses from 3162 elderly patients on Frequency Scale for Symptoms of GERD (FSSG) and SF-8 QOL questionnaires (SF-8) were analyzed. FSSG items were classified into total score (TS), reflux score (RS), and dyspepsia score (DS). The SF-8 questionnaire consisted of the physical component summary (PCS) and mental component summary (MCS).Results. Prevalence among LDA users and nonusers, respectively, was 9.6% and 10.0% (P=0.83) for EI, 35.9% and 27.5% (P=0.0027) for GI, 3.3% and 3.4% (P=0.84) for DI, and 8.2% and 5.2% (P=0.036) for mucosal injury in 2 or more organs. LDA users diagnosed with EI had significantly lower PCS, LDA users diagnosed with GI had significantly lower DS, and LDA users diagnosed with DI had significantly lower RS and significantly lower MCS.Conclusion. These results provide important clinical information indicating that symptom-based management is not appropriate in LDA users regarding upper gastrointestinal mucosal injury.


2010 ◽  
Vol 56 (2) ◽  
pp. 465-471 ◽  
Author(s):  
Akiko Shiotani ◽  
Ryuji Nishi ◽  
Yoshiyuki Yamanaka ◽  
Takahisa Murao ◽  
Hiroshi Matsumoto ◽  
...  

2014 ◽  
Vol 146 (5) ◽  
pp. S-791
Author(s):  
Yukiko Uehara ◽  
Yuji Naito ◽  
Osamu Handa ◽  
Mayuko Morita ◽  
Katsura Mizushima ◽  
...  

2010 ◽  
Vol 49 (23) ◽  
pp. 2537-2545 ◽  
Author(s):  
Isamu Tamura ◽  
Tsuyoshi Fujita ◽  
Hidetaka Tsumura ◽  
Yoshinori Morita ◽  
Masaru Yoshida ◽  
...  

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