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Updated: May 27, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Esophageal bezoar formation: case report and review of the literature
Jiong Xiong1, Shuqing Ji1, Chen Liu1
1Department of Critical Care Medicine, Affiliated Hospital of Guizhou Medical University Guiyang, Guizhou, China.
Abstract:
The provision of enteral nutrition through a nasogastric tube is a routine procedure in the intensive care unit (ICU), but it can lead to complications from intestinal intolerance, such as aspiration. This case report highlights a rare esophageal bezoar complication in a 43-year-old male paraplegic patient with multiple traumas who developed high paraplegia and lost spontaneous respiration, requiring invasive ventilation and nasogastric tube enteral nutrition. Despite 28 days of nutritional support, the patient experienced regurgitation and esophageal obstruction, which was confirmed on CT and endoscopy to be an esophageal bezoar, leading to worsened energy deficiency and clinical exacerbation. Conclusion: This case illustrates the rare occurrence of an esophageal bezoar formation in a patient with high-level spinal cord injury, resulting in compromised respiratory and gastrointestinal functions. Esophageal bezoars can cause regurgitation and may worsen prognosis.
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