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Esophageal Obstruction Caused by the Solidification of Residue of an Enteral Feeding Formula
소화관영양처방의 잔류물의 고형화에 의해 발생된 식도막힘
J Clin Nutr 2018;10:25-30
Published online June 30, 2018
© 2018 Korean Society for Parenteral and Enteral Nutrition.

Hancheol Jo1, Ye Rim Chang1, So Mi Kim2, Dong Wook Kim1, Ye Seob Jee1
조한철1, 장예림1, 김소미2, 김동욱1, 지예섭1

Departments of 1Surgery and 2Internal Medicine, Dankook University Hospital, Cheonan, Korea
단국대학교병원 1외과, 2내과
Ye Seob Jee
Department of Surgery, Dankook University Hospital, 201 Manghyang-ro, Dongnam-gu, Cheonan 31116, Korea
Tel: +82-41-550-6379, Fax: +82-41-550-0524, E-mail: ysjee77@gmail.com
Received December 28, 2017; Revised May 18, 2018; Accepted May 20, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
The nutritional support of acutely ill patients is very important and early enteral nutrition is recommended. Feeding via the nasogastric route is used widely for its ease of access if the patient cannot maintain volitional food intake. If the position of the tip or side holes of the nasogastric tube (NGT) is above the gastroesophageal junction, there is the possibility of retention and solidification of the administered enteral feeding formula in the esophagus. Therefore, the tip of the NGT should be checked carefully; a chest radiograph to confirm its position can be considered, especially in patients with a higher risk of aspiration and gastroesophageal reflux. In addition, careful consideration of the risk factors that can trigger esophageal obstruction is required when feeding patients in the intensive care unit. This paper describes two unusual cases of esophageal obstruction caused by the solidification of residue of an enteral feeding formula.
Keywords : Esophageal obstruction, Enteral nutrition, Nasogastric tube

 

June 2018, 10 (1)