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Updated: Apr 4, 2026

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
Published on: August 2, 2024
Gastric Perforation Following Nasogastric Intubation in an Elderly Male
Adam Janicki1, Chad Van Ginkel1, Jamieson Cohn1
1Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI.
Abstract:
In order to provide appropriate and timely treatment for an acute gastrointestinal bleed, it is vital to determine the site of hemorrhage. Historical clues and exam may be insufficient to differentiate upper from lower gastrointestinal bleeds and clinicians may utilize nasogastric lavage for diagnostic clarity. Nasogastric tube placement is a common procedure in the Emergency Department and is often viewed as benign. We present a patient presenting with hematochezia that developed pneumoperitineum secondary to nasogastric tube perforation of the gastric wall and discuss the literature regarding gastric lavage in the setting of gastrointestinal bleed.
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