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case_report·critical care, gastroenterology, surgery, emergency medicine, neurology·PMC10328672

Breakage of an orogastric tube in a critically Ill patient: a case report

Annals of Medicine and Surgery · 7 authors, 3 centres

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TL;DR

The broken distal part was successfully retrieved from the upper esophagus using a laryngoscope.

Full summary

236 CHARS

This is a case report of a 58-year-old male with posterior circulation stroke who developed orogastric tube breakage during a prolonged ICU stay. They note that timely identification before distal migration allowed for simple retrieval.

STUDY TYPE

case_report

SPECIALTY

critical care

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10328672

Breakage of an orogastric tube in a critically Ill patient: a case report

Annals of Medicine and Surgery

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ABSTRACT

Introduction and importance: Orogastric and nasogastric tubes are common methods of enteral feeding. Although the methods of tube feeding are simple, these methods are not free of complications. Case presentation: This case report describes a 58-year-old patient with the diagnosis of stroke, in whom there was breakage of an orogastric tube during a prolonged ICU stay. Clinical discussion: Early enteral feeding in patients without any contraindications is associated with improved organ survival and recovery, and decreased incidence of infections, which decreases the ICU stay and improves the overall outcome. Nasogastric and orogastric tubes are the most commonly inserted feeding tubes. Breakage of an orogastric tube is a rare complication that can occur due to manufacturing defects, exposure to a harsh acidic environment, and forceful flushing of an obstructed tube. Conclusions: Timely identification of the broken feeding tube can help the treating clinicians retrieve it easily even with the help of a laryngoscope in selected patients.

CITATION EXPORT

Surendra Khanal, Suraj Shrestha, Ramesh Khadayat et al.. Breakage of an orogastric tube in a critically Ill patient: a case report. Annals of Medicine and Surgery. (2023). https://doi.org/10.1097/MS9.0000000000001008

AUTHORS

7 · 3 CENTRES

Surendra Khanal, Suraj Shrestha, Ramesh Khadayat, Aayush Adhikari, Elisha Poddar, Sanjeev Kharel, Pradeep Raj Regmi

Departments of aCritical Care Medicine
bRadiology, Tribhuvan University Teaching Hospital
cMaharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal