Kumar Sinha Amit, Ahmad Sohail, Rashi Rashi, Kumar Amit, Kumar Bindey
Department of Pediatric surgery All India Institute of Medical Sciences Panta Bihar India.
Pediatr Investig. 2020 Jun 24;4(2):145-147. doi: 10.1002/ped4.12180. eCollection 2020 Jun.
A nasogastric tube is used commonly to decompress the stomach and provide enteral feeding in surgical and medical practice. Sometimes this safe and innocent-looking tube may lead to unexpected complications. We focus here on the possibility of spontaneous 'lariat loop' knotting of the nasogastric tube when some resistance is felt on tube retrieval and describe a method of safe tube removal.
We present a case of self-knotting of a nasogastric tube that was placed to decompress the stomach during the postoperative period after surgical repair of anorectal malformation in a 4-month-old boy.
Self-knotting of the distal end of nasogastric tube is an unusual complication with catastrophic sequelae if not addressed properly. If any resistance is felt during nasogastric tube retrieval, self-knotting of the tube must be suspected.
鼻胃管在外科和内科实践中常用于胃减压及提供肠内营养。有时，这种看似安全无害的管子可能会导致意想不到的并发症。我们在此关注的是，当在拔管时感觉到有阻力时，鼻胃管自发形成“套索环”打结的可能性，并描述一种安全拔管的方法。
我们报告一例4个月大男婴，在肛门直肠畸形手术修复术后放置鼻胃管用于胃减压时，鼻胃管自行打结的病例。
鼻胃管远端自行打结是一种不常见的并发症，若处理不当会导致灾难性后果。如果在拔除鼻胃管时感觉到任何阻力，必须怀疑管子已自行打结。
