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SHR Neuro Krebs Kardio Lipid

Rainer, F; Prenner, G; Binder, LP; Fickert, P; Plank, J.
Case of nasogastric tube dysfunction.
Gut. 2019; 68(2):206-262 (- Case Report)
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Autor/innen der Med Uni Graz:
Binder Lukas
Fickert Peter
Prenner Günther
Rainer Florian
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Abstract:
An elderly female patient was admitted to intensive care for prolonged vasopressor therapy and mechanical ventilation after cardiac arrest and acute percutaneous coronary intervention. Antiplatelet, thyroid hormone replacement and statin therapies were administered through a 14-French nasogastric tube (Nestlé Health Science) and enteral feeding was initiated. Correct position of the nasogastric tube was confirmed radiologically. On the seventh day in the intensive care, our patient was seen to regurgitate soft crumbs into her mouth. The blocked nasogastric tube was removed, but attempts to reinsert another tube failed.Upper GI endoscopy revealed an obstruction of the oesophagus with a milky-yellowish caseous substance 20 cm from the incisors (figure 1). The proximal part of the mass showed a central hole and ring-shaped layers resembling the cut face of a tree trunk.gutjnl;68/2/206/F1F1F1Figure 1Obstruction of the oesophagus with a milky-yellowish caseous substance. What caused the obstruction?How should we manage such a problem? © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Bezoars - diagnosis
Bezoars - etiology
Bezoars - therapy
Enteral Nutrition - adverse effects
Female -
Gastroscopy -
Humans -
Intubation, Gastrointestinal - adverse effects
Platelet Aggregation Inhibitors - administration & dosage
Thyroid Hormones - administration & dosage

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