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Esophageal perforation with orogastric tube malposition in low-birth-weight infant

Takashi Maeda1, Takashi Tachibana1, Toru Harada2

  • 1Department of Pediatric Cardiology and Neonatology Ogaki Municipal Hospital Japan.

Clinical Case Reports
|September 20, 2019
PubMed

Insights

Esophageal perforation is a rare but severe complication of gastric tube placement. Physicians should consider malposition if the tube appears straight in its lower section.

Area of Science:

  • Medicine
  • Gastroenterology
  • Medical Devices

Background:

  • Esophageal perforation is a rare but serious complication.
  • Gastric tube placement is a common medical procedure.

Purpose of the Study:

  • To highlight esophageal perforation as a complication of gastric tube placement.
  • To provide a diagnostic clue for gastric tube malposition.

Main Methods:

  • Review of medical literature.
  • Analysis of clinical case reports.

Main Results:

  • Esophageal perforation can occur during gastric tube insertion.
  • A straight course of the lower gastric tube segment suggests malposition.

Conclusions:

  • Physicians must maintain a high index of suspicion for esophageal perforation.
  • Radiographic identification of a straight lower gastric tube segment warrants further investigation.

Keywords:
esophageal perforationgastric tubelow‐birthweight infantstraight course of the lower segment of the tube

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