Delayed gastric perforation following nasogastric tube insertion: the pitfalls of radiographic confirmation

Author:

Wallbridge ThomasORCID,Eddula Mahesh,Vadukul Prakash,Bleasdale John

Abstract

A man in his 70s, admitted to intensive care unit following an out of hospital cardiac arrest, had a nasogastric (NG) tube inserted on admission. Correct placement of the NG tube had been confirmed using National Patient Safety Agency (NPSA) criteria and was used for feeding without incident. He remained intubated and ventilated throughout his stay. On day 9 his oxygen requirements increased with subsequent chest imaging revealing an incidental gastric perforation secondary to NG tube migration. The NG tube was removed intact and undamaged. The patient appeared to improve without sequelae from the perforation or signs of abdominal sepsis. Unfortunately his condition deteriorated due to a large right atrial thrombus and life sustaining treatments were withdrawn.

Publisher

BMJ

Subject

General Medicine

Reference4 articles.

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3. Gastric perforation in an adult male following nasogastric intubation;Daliya;Ann R Coll Surg Engl,2012

4. NHS National Patient Safety Agency . NPSA – reducing the harm caused by misplaced nasogastric feeding tubes in adults, children and infants 2011.

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