CRITICAL CARE - ADULTS / LETTER TO EDITOR
Overtube-assisted removal of an enteral feed bezoar: a case report
1
Intesive Care Unit, San Pio da Pietrelcina, Civic Hospital, Vasto, Italy
2
Digestive Endoscopy Unit, San Pio da Pietrelcina, Civic Hospital, Vasto, Italy
Submission date: 2024-10-18
Acceptance date: 2025-05-08
Publication date: 2025-07-04
Corresponding author
Anaesthesiol Intensive Ther 2025;57(1):132-135
TOPICS
REFERENCES (23)
1.
Andrus CH, Ponsky JL. Bezoars: classification, pathophysiology, and treatment. Am J Gastroen terol 1988; 83: 476-478.
2.
Taylor JR, Streetman DS, Castle SS. Medication bezoars: a literature review and report of a case. Ann Pharmacother 1998; 32: 940-946. DOI: 10.1345/aph.17420.
3.
Pearce CB, Duncan HD. Enteral feeding. Nasogastric, nasojejunal, percutaneous endoscopic gastrostomy, or jejunostomy: its indications and limitations. Postgrad Med J 2002; 78: 198-204. DOI: 10.1136/pmj.78.918.198.
4.
Yaqub S, Shafique M, Kjæstad E, Thorsen Y, Lie ES, Dahl V, et al. A safe treatment option for esophageal bezoars. Int J Surg Case Rep 2012; 3: 366-367. DOI: 10.1016/j.ijscr.2012.04.008.
5.
Gatt M, Reddy BS, MacFie J. Review article: bacterial translocation in the critically ill – evidence and methods of prevention. Aliment Pharmacol Ther 2007; 25: 741-57. DOI: 10.1111/j.1365-2036. 2006.03174.x.
6.
Marcus EL, Arnon R, Sheynkman A, Caine YG, Lysy J. Esophageal obstruction due to enteral feed bezoar: a case report and literature review. World J Gastrointest Endosc 2010; 2: 352-356. DOI: 10. 4253/wjge.v2.i10.352.
7.
Tawfic QA, Bhakta P, Date RR, Sharma PK. Esophageal bezoar formation due to solidification of enteral feed administered through a malpositioned nasogastric tube: case report and review of the literature. Acta Anaesthesiol Taiwan 2012; 50: 188-190. DOI: 10.1016/j.aat.2012.12.002.
8.
Tawfic QA, Bhakta P, Kausalya R. Unexpected cause of esophageal obstruction due to accidental use of traditional medicine in a critically ill patient fed through naso-gastric tube. Indian J Crit Care Med 2010; 14: 160-161. DOI: 10.4103/0972- 5229.74178.
9.
Degheili JA, Sebaaly MG, Hallal AH. Nasogastric tube feeding-induced esophageal bezoar: case description. Case Rep Med 2017; 2017: 1365736. DOI: 10.1155/2017/1365736.
10.
Myo A, Nichols P, Rosin M, Bryant GD, Peter son LM. An unusual oesophageal obstruction during nasogastric feeding. Br Med J (Clin Res Ed) 1986; 293: 596-597. DOI: 10.1136/bmj.293.6547.596.
11.
Leonello G, Rizzo AG, Di Dio V, Soriano A, Previti C, Pantè GG, et al. Gastrointestinal obstruction caused by solidification and coagulation of enteral nutrition: pathogenetic mechanisms and potential risk factors. Int Med Case Rep J 2018; 11: 81-85. DOI: 10.2147/imcrj.S142695.
12.
Llobera ND, Pasquini MT, Reberendo MJ, Chape - la SP, Maurette R. Enteral nutrition-related small bowel bezoar: a case report and literature review. Anaesthesiol Intensive Ther 2023; 55: 377-381. DOI: 10.5114/ait.2023.134266.
13.
Irgau I, Fulda GJ. Esophageal obstruction sec - ondary to concretions of tube-feeding formula. Crit Care Med 1995; 23: 208-210. DOI: 10.1097/ 00003246-199501000-00033.
14.
Turner JS, Fyfe AR, Kaplan DK, Wardlaw AJ. Oesophageal obstruction during nasogastric feed - ing. Intensive Care Med 1991; 17: 302-303. DOI: 10.1007/bf01713943.
15.
Douzinas EE, Andrianakis I, Livaditi O, Bakos D, Flevari K, Goutas N, et al. Reasons of PEG failure to eliminate gastroesophageal reflux in mechani - cally ventilated patients. World J Gastroenterol 2009; 15: 5455-5460. DOI: 10.3748/wjg.15.5455.
16.
Hampel H, Abraham NS, El-Serag HB. Metaanalysis: obesity and the risk for gastroesophageal reflux disease and its complications. Ann Intern Med 2005; 143: 199-211. DOI: 10.7326/0003- 4819-143-3-200508020-00006.
17.
García-Luna PP, García E, Pereira JL, Garrido M, Parejo J, Migens V, et al., Esophageal obstruction by solidification of the enteral feed: a complica - tion to be prevented. Intensive Care Med 1997; 23: 790-792. DOI: 10.1007/s001340050412.
18.
Caldeira A, Casanova P, Sousa R, Martins P, Ban - hudo A, Pimentel J. Enteric nutrition and esoph - ageal impactation: what relationship. Acta Med Port 2010; 23: 183-190 [Article in Portuguese].
19.
Ibáñez J, Peñafiel A, Raurich JM, Marse P, Jordá R, Mata F. Gastroesophageal reflux in intubated pa - tients receiving enteral nutrition: effect of supine and semirecumbent positions. JPEN J Parenter Enteral Nutr 1992; 16: 419-422. DOI: 10.1177/ 0148607192016005419.
20.
Chan EY, Ng IH, Tan SL, Jabin K, Lee L, Ang C. Nasogastric feeding practices: a survey using clin - ical scenarios. Int J Nurs Stud 2012; 49: 310-319. DOI: 10.1016/j.ijnurstu.2011.09.014.
21.
Morell B, Buehler PK, Bader PR, Lang S, Scharl M, Gubler C, et al. Efficient treatment of esopha - geal nutrition bezoars: dissolution outmatches removal-the Zurich approach. Clin J Gastroen - terol 2021; 14: 1602-1606. DOI: 10.1007/s12328- 021-01516-1.
22.
Chaudhry I, Asban A, Kazoun R, Khurshid I. Lithobezoar, a rare cause of acute oesophageal obstruction: surgery after failure of endoscopic re - moval. BMJ Case Rep 2013; 2013: bcr2013008984. DOI: 10.1136/bcr-2013-008984.
23.
Song R, Han C, Wang H, Qi G, Xu F. Laser litho - tripsy to treat a huge incarcerated esophageal bezoar. Endoscopy 2023; 55: E131-e132. DOI: 10.1055/a-1937-9836.
| eISSN: | 1731-2531 |
| ISSN: | 1642-5758 |
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