Volume 19, Issue 5 (Iranian South Medical Journal 2016)                   Iran South Med J 2016, 19(5): 895-901 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tabib S M, Afrakhteh S, Alipour Z. Knotted Nasogastric Tube in a Patient with Gastric Volvulus. Iran South Med J 2016; 19 (5) :895-901
URL: http://ismj.bpums.ac.ir/article-1-837-en.html
1- Department of gastroenterology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran , masoudtabib@yahoo.com
2- Department of internal medicine, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
3- Department of gastroenterology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract:   (4740 Views)

An 88-year-old man reffered to Emergency section of Persian Gulf Martyrs hospital, in Bushehr with clinical impression of upper GI bleeding & severe anemia. In the endoscopy section he became agitated during removal of his NG tube and nurse reported that he felt resistance during extraction of his NG tube. After the removal of a NG tube revealed a distal tight simple knot is observed at the distal end rigid tube. After evaluation by upper endoscopy & barium meal disclosed that he is a case of acute gastric volvulus which is a rare & potentially life threatening disease. We believe that anatomic changes due to gastric volvulus are the cause of his knotted NG tube. 

Full-Text [PDF 399 kb]   (6259 Downloads)    
Type of Study: Case Report | Subject: Digestive System
Received: 2016/03/26 | Accepted: 2016/09/11 | Published: 2016/11/17

References
1. Laurent S, Grayet D, Lavigne ChM. Acute and chronic gastric volvulus: radical different prognosis & management. Case report. Acta Chir Belg 2010; 110(1): 76-9. [PubMed] [Google Scholar]
2. Rashid F, Thangarajah T, Mulvey D, et al. A review article on gastric volvulus: a challenge to diagnosis & management. Int J Surg 2010; 8(1): 18-24. [PubMed] [Google Scholar]
3. Naim HJ, Smith R, Gorecki PJ. Emergent laparoscopic reduction of acute gastric volvulus with anterior gastropexy. Surg Laparosc Endosc Percutan Tech 2003; 13(6): 389-91. [PubMed] [Google Scholar]
4. Godshall D, Mossallam U, Rosenbaum R. Gastric volvulus: case report & review of the literature. J Emerg Med 1999; 17(5): 837-40. [PubMed] [Google Scholar]
5. Borchardt M. Zur pathologie und therapie des magen volvulus. Arch Klin Chir 1904; 74: 243-60. [Google Scholar]
6. Woon CY, Chung AY, Low AS, et al. Delayed diagnosis of intermittent mesenteroaxial volvulus of the stomach by computed tomography: a case report. J Med Case Rep 2008, 2: 343. [PubMed] [Google Scholar]
7. Makama JG. Uses & hazards of nasogastric tube in gastrointestinal diseases: An update for clinicians. Ann Nigerian Med 2010 4(2): 37-44. [Google Scholar]
8. Nakano Y, Takeuchi E, Tsuchiya T, et al. Pneumothorax from a nasogastric feeding tube. Nihon Kyoby Shikkan Gakkai Zasshi 1996; 34(1): 63-6. [PubMed] [Google Scholar]
9. Smith NL, Park M, Freebairn R. Case report & review: nasogastric tube complications. Crit Care Shock 2012 15: 36-42. [Google Scholar]
10. Durai R, Venkatraman R, Ng PC. Nasogastric tubes. 2: risks & guidance on avoiding & dealing with complications. Nurs Times 2009; 105(17): 14-6. [PubMed]
11. Sawant MR. Knotted nasogastric tube. IOSR J Dent Med Sci (IOSR-JDMS)2015; 14(3): 32. [Google Scholar]
12. Dasani B, Sahdev P. Knotting of a nasogastric tube: a case report. Am J Emerg Med 1991; 9(6): 565. [PubMed]
13. Liao GS, Hsieh HF, Wu MH, et al. Knot formation in the feeding jejunostomy tube: a case report and review of the literature. World J Gastroenterol 2007; 13(6): 973-4. [PubMed]
14. Awe JAA. Self knotting of Nasogastric tube: an unusual & rare complication. Global Adv Res J Microbiol 2014; 3(4): 64-7. [Google Scholar]
15. Wright S, Warusavitarne J, Shaikh I, et al. Safe removal of knotted nasogastric tubes. Nursing Times 2014; 110(43): 16-7. [Google Scholar]
16. Kinshuck AJ, William CE, Reddy CE. A forgotten nasogastric tube. Clin Rhinol Int J 2011; 4(1): 43-6. [Google Scholar]
17. Trujillo MH, Fragachan CF, Tortoledo F, et al. “Lariat loop” knotting of a nasogastric tube: an ounce of prevention. Am J Crit Care 2006; 15(4): 413-4. [PubMed] [Google Scholar]
18. Agarwal A, Gaur A, Sahu D, et al. Nasogastric tube knotting over the epiglottis: a cause of respiratory distress. Anesth Analg 2002; 94(6): 1659-60. [PubMed] [Google Scholar]
19. Santhanam V, Margarson M. Removal of self-knotted nasogastric tube technical note. Int J Oral Maxillofac Surg 2008; 37(4): 384-5. [PubMed] [Google Scholar]
20. Dinsmore RC, Benson JF. Endoscopic removal of a knotted nasogastric tube lodged in the posterior nasopharnyx. South Med J 1999; 92(10): 1005-7. [PubMed] [Google Scholar]
21. Tapaiwala SN, Al Riyami D, Cole E. A painful & knotted nasogastric tube. CMAJ 2008; 178(5): 568. [PubMed] [Google Scholar]
22. Egan DJ Shami N. Self-knotting of a nasogastric tube. West J Emerg Med 2011; 12(2): 266-7. [PubMed] [Google Scholar]

Send email to the article author


Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Iranian South Medical Journal

Designed & Developed by: Yektaweb