scholarly journals Application of Modified Gastric Tube Placement in Patients with Indwelling Gastric Tube

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.

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 ◽  
pp. 171-177
Author(s):  
Danial Haris Shaikh ◽  
Abhilasha Jyala ◽  
Shehriyar Mehershahi ◽  
Chandni Sinha ◽  
Sridhar Chilimuri

Acute gastric dilatation is the radiological finding of a massively enlarged stomach as seen on plain film X-ray or a computerized tomography scan of the abdomen. It is a rare entity with high mortality if not treated promptly and is often not reported due to a lack of physician awareness. It can occur due to both mechanical obstruction of the gastric outflow tract, or due to nonmechanical causes, such as eating disorders and gastroparesis. Acute hyperglycemia without diagnosed gastroparesis, such as in patients with diabetic ketoacidosis, may also predispose to acute gastric dilatation. Prompt placement of a nasogastric tube can help deter its serious complications of gastric emphysema, ischemia, and/or perforation. We present our experience of 2 patients who presented with severe hyperglycemia and were found to have acute gastric dilation on imaging. Only one of the patients was treated with nasogastric tube placement for decompression and eventually made a full recovery.


2017 ◽  
Vol 80 (8) ◽  
pp. 492-497 ◽  
Author(s):  
Xiao-Lun Lee ◽  
Li-Chun Yeh ◽  
Yau-Dung Jin ◽  
Chun-Chih Chen ◽  
Ming-Ho Lee ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-2
Author(s):  
Lukas P. Mileder ◽  
Martin Müller ◽  
Friedrich Reiterer ◽  
Alexander Pilhatsch ◽  
Barbara Gürtl-Lackner ◽  
...  

Preterm infants are highly susceptible to injuries following necessary and often life-saving medical interventions. Esophageal perforation is a rare, yet serious complication that can be caused by aerodigestive tract suction, endotracheal intubation, or nasogastric tube placement. We present the case of a neonate born at 23 weeks plus three days of gestation with chest radiography showing malposition of the nasogastric feeding tube and massive right-sided effusion of Iopamidol in the pleural cavity due to esophageal perforation. In addition, the article summarizes common signs and symptoms associated with esophageal perforation in infants and discusses diagnostic approaches.


Author(s):  
David P. Nguyen ◽  
L. Connor Nickels ◽  
Giuliano De Portu

2009 ◽  
Vol 154 (3) ◽  
pp. 460-460.e1 ◽  
Author(s):  
Bai-Horng Su ◽  
Hsiang-Yu Lin ◽  
Hsiao-Yu Chiu ◽  
Hung-Chih Lin

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