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[Oesophagitis during mechanical ventilation].

H Gastinne, J M Canard, B Pillegand

    La Nouvelle Presse Medicale
    |October 16, 1982
    PubMed
    Summary
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    Mechanical ventilation with nasogastric intubation frequently causes esophageal inflammation (esophagitis) due to gastroesophageal reflux. This condition, identified via endoscopy, may also lead to lung aspiration in critically ill patients.

    Area of Science:

    • Gastroenterology
    • Critical Care Medicine
    • Otolaryngology

    Context:

    • Critically ill patients often require mechanical ventilation and nasogastric intubation.
    • Esophagitis is a potential complication in these patients.
    • Gastroesophageal reflux (GER) is a common issue in ventilated patients.

    Purpose:

    • To investigate the incidence and course of esophagitis in patients on mechanical ventilation with nasogastric intubation.
    • To identify potential causes of esophagitis in this patient population.
    • To explore the relationship between esophagitis and gastroesophageal reflux.

    Summary:

    • Endoscopic and biopsy examinations were performed on 21 patients before day 3 and on day 15 of treatment.
    • Esophagitis lesions were detected in 14 patients initially and 19 patients on the second endoscopy.

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  • The study suggests frequent gastroesophageal reflux, exacerbated by cough, consciousness impairment, and tube presence, causes esophagitis and potential lung aspiration.

    • Impact:

    • Highlights the high prevalence of esophagitis in mechanically ventilated patients.
    • Identifies gastroesophageal reflux as a primary cause of esophagitis and potential aspiration.
    • Informs clinical practice regarding monitoring and management of esophageal complications in intensive care settings.