Nasogastric tube knotting: a rare and potentially overlooked complication among healthcare professionals.
| Title: | Nasogastric tube knotting: a rare and potentially overlooked complication among healthcare professionals. |
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| Authors: | Chavda V; Department of General Surgery, Kettering General Hospital NHS Foundation Trust, Kettering, UK.; Alhammali T; Department of General Surgery, Kettering General Hospital NHS Foundation Trust, Kettering, UK.; Farrant J; Department of General Surgery, Kettering General Hospital NHS Foundation Trust, Kettering, UK.; Naidu L; Department of Radiology, Kettering General Hospital NHS Foundation Trust, Kettering, UK.; El-Rabaa S; Department of General Surgery, Kettering General Hospital NHS Foundation Trust, Kettering, UK. |
| Source: | BMJ case reports [BMJ Case Rep] 2017 Sep 07; Vol. 2017. Date of Electronic Publication: 2017 Sep 07. |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BMJ Pub. Group |
| MeSH Terms: | Enteral Nutrition/*adverse effects ; Intubation, Gastrointestinal/*adverse effects ; Stomach/*diagnostic imaging; Intubation, Gastrointestinal/instrumentation ; Aged ; Equipment Failure ; Female ; Humans ; Tomography, X-Ray Computed |
| Abstract: | Nasogastric tube placement is a common procedure performed in surgical and medical specialities. The occurrence of knot formation is perhaps one of the least well-recognised complications associated with its usage. We present a case of nasogastric tube knotting to remind colleagues of this rare but important complication. A 75-year-old woman with adhesional bowel obstruction was admitted under the general surgery team. A wide bore nasogastric tube was inserted for drainage and decompression. Although placement of the tube was deemed to be successful, there was no drainage of gastric content evident. On removal of the 'non-functioning' tube a simple knot was seen at its proximal end. A further nasogastric tube was placed and the patient's symptoms resolved with conservative management. Nasogastric tube knotting is a rare and often overlooked complication with the potential to cause significant trauma on tube removal if unrecognised.; (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.) |
| Competing Interests: | Competing interests: None declared. |
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| Contributed Indexing: | Keywords: gastroenterology; general surgery; nutritional support |
| Entry Date(s): | Date Created: 20170909 Date Completed: 20180524 Latest Revision: 20200225 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC5614309 |
| DOI: | 10.1136/bcr-2017-220287 |
| PMID: | 28883008 |
| Database: | MEDLINE |
Case Reports; Journal Article