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Is nasobiliary tube really safe? A case report.

Girolamo Geraci¹, Enrico Maria Arnone, Chiara Lo Nigro

¹Division of Endoscopic Surgery, Section of General and Thoracic Surgery, University Hospital of Palermo, Palermo, Italy.

Case Reports in Gastroenterology

|June 30, 2011

Summary

Nasobiliary tubes can cause esophageal ulcers, a rare complication. This case highlights the risk of pressure sores from nasobiliary tube placement, emphasizing the need for informed consent.

Keywords:

Complication Esophagus Nasobiliary tube

Related Experiment Videos

Area of Science:

Gastroenterology
Endoscopy
Medical Devices

Background:

Nasobiliary tubes are used for biliary drainage.
Major complications are rarely reported for nasobiliary tubes.
Cholangitis with biliary stones necessitates biliary drainage.

Observation:

A 72-year-old patient with cholangitis underwent nasobiliary tube placement.
The patient developed odynophagia, dysphagia, and retrosternal pain post-procedure.
Upper endoscopy revealed a significant esophageal ulcer.

Findings:

This is the first reported case of an esophageal ulcer caused by a nasobiliary tube.
Nasobiliary tube placement can lead to pressure sore complications.
Esophageal ulcers from nasobiliary tubes require conservative management.

Implications:

Healthcare providers should consider esophageal ulcers as a potential complication of nasobiliary tube use.
Informed consent forms should include the risk of pressure sores from nasobiliary tubes.
This finding contributes to understanding the safety profile of nasobiliary tubes.