Khanal Surendra, Shrestha Suraj, Khadayat Ramesh, Adhikari Aayush, Poddar Elisha, Kharel Sanjeev, Regmi Pradeep Raj
Departments of Critical Care Medicine.
Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Ann Med Surg (Lond). 2023 Jun 21;85(7):3714-3716. doi: 10.1097/MS9.0000000000001008. eCollection 2023 Jul.
Orogastric and nasogastric tubes are common methods of enteral feeding. Although the methods of tube feeding are simple, these methods are not free of complications.
This case report describes a 58-year-old patient with the diagnosis of stroke, in whom there was breakage of an orogastric tube during a prolonged ICU stay.
Early enteral feeding in patients without any contraindications is associated with improved organ survival and recovery, and decreased incidence of infections, which decreases the ICU stay and improves the overall outcome. Nasogastric and orogastric tubes are the most commonly inserted feeding tubes. Breakage of an orogastric tube is a rare complication that can occur due to manufacturing defects, exposure to a harsh acidic environment, and forceful flushing of an obstructed tube.
Timely identification of the broken feeding tube can help the treating clinicians retrieve it easily even with the help of a laryngoscope in selected patients.
经口胃管和鼻胃管是常见的肠内喂养方法。尽管管饲方法简单，但这些方法并非没有并发症。
本病例报告描述了一名58岁诊断为中风的患者，该患者在重症监护病房（ICU）长期住院期间发生了经口胃管破裂。
在没有任何禁忌症的患者中早期肠内喂养与器官存活和恢复改善、感染发生率降低相关，这缩短了ICU住院时间并改善了总体预后。鼻胃管和经口胃管是最常用的插入式喂养管。经口胃管破裂是一种罕见的并发症，可能由于制造缺陷、暴露于恶劣的酸性环境以及对堵塞的管道进行强力冲洗而发生。
及时识别破裂的喂养管有助于治疗临床医生即使在喉镜辅助下也能轻松为选定患者取出它。
