Iatrogenic Intubation Injuries of the Upper Gastrointestinal Tract in Adults

Overview

Journal Gastrointest Radiol

Specialties Gastroenterology
Radiology

Date 1980 Feb 1

PMID 6153626

Citations 11

Authors

G G Ghahremani

M A Turner

R B Port

Affiliations

Soon will be listed here.

Abstract

Perforation of the hypopharynx, esophagus, and stomach complicated the insertion of flexible tubes in 11 adults. Nasogastric suction tubes were responsible for 5 instances of gastric perforation. Palliative intubation of obstructive carcinomas of the distal esophagus resulted in delayed perforation of the esophagus and stomach in 2 cases. The use of a Linton tube for decompression of bleeding varices caused esophageal rupture in 1 patient whereas 2 others developed pharyngoesophageal perforation due to misplaced endotracheal tubes. The remaining 1 case demonstrated penetration of a chest tube into the esophageal lumen. The radiographic features and mechanisms of these iatrogenic injuries are described and the pertinent literature is reviewed.

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References

Hall W, Hodges S . Effect of fluoroscopic tube placement on basal gastric secretion collections. South Med J. 1976; 69(2):164-6. DOI: 10.1097/00007611-197602000-00011. View

Rozanski J, KLEINFELD M . Complication of prolonged intestinal intubation: gaseous distention of the terminal balloon. Am J Dig Dis. 1975; 20(11):1067-70. DOI: 10.1007/BF01071196. View

Moessinger A, Driscoll Jr J, WIGGER H . High incidence of lung perforation by chest tube in neonatal pneumothorax. J Pediatr. 1978; 92(4):635-7. DOI: 10.1016/s0022-3476(78)80311-4. View

Siegle R, RABINOWITZ J, Sarasohn C . Intestinal perforations secondary to nasojejunal feeding tubes. AJR Am J Roentgenol. 1976; 126(6):1229-32. DOI: 10.2214/ajr.126.6.1229. View

Herlinger H . A modified technique for the double-contrast small bowel enema. Gastrointest Radiol. 1978; 3(2):201-7. DOI: 10.1007/BF01887065. View

Carter R, Hinshaw D . USE OF THE CELESTIN INDWELLING PLASTIC TUBE FOR INOPERABLE CARCINOMA OF THE ESOPHAGUS AND CARDIA. Surg Gynecol Obstet. 1963; 117:641-4. View

Eaton S, Benedict Jr K, Ferrucci Jr J, Fleischli D . Hypotonic duodenography. Radiol Clin North Am. 1970; 8(1):125-37. View

Rhea J, Chazzawi O, Weidman W . Nasojejunal feeding: an improved device and intubation technique. J Pediatr. 1973; 82(6):951-4. DOI: 10.1016/s0022-3476(73)80423-8. View

HAFNER C, WYLIE Jr J, Brush B . Complications of gastrointestinal intubation. Arch Surg. 1961; 83:147-60. DOI: 10.1001/archsurg.1961.01300130151018. View

10.

Larsen P . Knotted nasogastric tubing. JAMA. 1977; 238(3):211-2. DOI: 10.1001/jama.1977.03280030019007. View

11.

Chen J, Wong P . Intestinal complications of nasojejunal feeding in low-birth-weight infants. J Pediatr. 1974; 85(1):109-10. DOI: 10.1016/s0022-3476(74)80302-1. View

12.

ZEID S, Young P, Reeves J . Rupture of the esophagus after introduction of the Sengstaken-Blakemore tube. Gastroenterology. 1959; 36(1):128-31. View

13.

SOWER N, WRATTEN G . INTUSSUSCEPTION DUE TO INTESTINAL TUBES; CASE REPORTS AND REVIEW OF LITERATURE. Am J Surg. 1965; 110:441-4. DOI: 10.1016/0002-9610(65)90087-5. View

14.

Meyers M, Ghahremani G . Complications of Fiberoptic Endoscopy. I. Esophagoscopy and Gastroscopy. Radiology. 1975; 115(2):293-300. DOI: 10.1148/115.2.293. View

15.

Wolff A, Kessler S . Iatrogenic injury to the hypopharynx and cervical esophagus: an autopsy study. Ann Otol Rhinol Laryngol. 1973; 82(6):778-83. DOI: 10.1177/000348947308200605. View

16.

Stahly T, Tench W . Lung entrapment and infarction by chest tube suction. Radiology. 1977; 122(2):307-9. DOI: 10.1148/122.2.307. View

17.

INGELFINGER F . Tubes. Gastroenterology. 1978; 74(2 Pt 1):310-8. View

18.

Wolff A, Kuhn F, OGURA J . Pharyngeal-esophageal perforations associated with rapid oral endotracheal intubation. Ann Otol Rhinol Laryngol. 1972; 81(2):258-61. DOI: 10.1177/000348947208100213. View

19.

LINTON R . The emergency and definitive treatment of bleeding esophageal varices. Gastroenterology. 1953; 24(1):1-9. View

20.

GIRDANY B, SIEBER W, Osman M . Traumatic pseudodiverticulums of the pharynx in newborn infants. N Engl J Med. 1969; 280(5):237-40. DOI: 10.1056/NEJM196901302800503. View