One Case of Esophageal Obstruction Caused by Enteral Nutrition

Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v2i2.350

Yangzhong Wang, Xiuqing Liao, Nan Tang, Xianlin Peng, Xiaoli Bao

Department of respiratory and critical care medicine, Fuling Central Hospital, Chongqing 408000, China

Abstract

We report a case of complete esophageal obstruction caused by continuous enteral nutrition infusion via nasogastric tube. A 77 year old man received mechanical ventilation due to severe pneumonia and severe respiratory distress. He began using enteral nutrition emulsion (TPF) through a nasogastric tube on admission. 15 days later, due to the difficulty of re-inserting the nasogastric tube, endoscopy found a large number of coagulations in the esophagus, resulting in complete esophageal obstruction. We remove a small part of the foreign body with a net basket under gastroscope. After the operation, the nasogastric tube was placed in the middle of the esophagus again, which was perfused with 5% sodium bicarbonate and vinegar through the gastric tube. One week later, the esophagus was completely unobstructed by gastroscopy. A conclusion can be drawn that the precipitation and coagulation of TPF can lead to the whole esophageal obstruction. Endoscopic removal of foreign bodies, sodium bicarbonate and vinegar retention in the esophagus can treat the food obstruction caused by TPF.

Keywords

TPF, gastroduodenoscopy, enteral nutrition, esophageal obstruction, sodium bicarbonate, vinegar

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