Kesarwani Vikas, Ghelani Dhaval R, Reece Graham
Department of Intensive Care Medicine, Blacktown Hospital, Blacktown Road, Blacktown NSW 2148, Australia.
Indian J Crit Care Med. 2010 Jul;14(3):141-3. doi: 10.4103/0972-5229.74172.
Esophageal obstruction due to solidified enteral feeds is a rare but distressful complication in intensive care unit (ICU) patients. It has been suggested that gastroesophageal reflux, very low gastric pH, decreased pepsin and pancreatic enzyme secretions may be responsible for the solidification of casein containing enteral formulas. Recognition and avoidance of these factors will prevent such complication.
凝固性肠内营养制剂导致的食管梗阻是重症监护病房(ICU)患者中一种罕见但令人痛苦的并发症。有人认为,胃食管反流、极低的胃内pH值、胃蛋白酶和胰酶分泌减少可能是含酪蛋白肠内营养制剂凝固的原因。识别并避免这些因素将预防此类并发症。