Small Bowel Obstruction Secondary to Migrated PEG Tube Alleviated by Double Balloon Enteroscopy (DBE): Non Surgical Management of a Rare Complication: 720Karanth, NithinSonpal, NiketHaber, GregoryOfficial journal of the American College of Gastroenterology | ACG...
Most obstructions resolve by allowing the small bowel to rest and shrink back to its normal size, thus making the adhesions less problematic. This is accomplished by inserting a nasogastric (NG) tube (a thin plastic tube that goes through a nostril and into the stomach) that suctions fluid ...
Delayed Distal Small Bowel Obstruction from a Detached PEG Tube Bumper: 271Wu, RogerGovil, YogeshOfficial journal of the American College of Gastroenterology | ACG
Small bowel obstructionAdhesionsSurgeryPurpose The safety and feasibility of early removal of nasogastric tube (NGT) after small bowel obstruction (SBO) surgery have not yet been assessed. Such a practice could allow to implement enhanced recovery after surgery (ERAS) protocols after acute SBO surgery...
conservative management withIV fluidandelectrolyte replacementand NG tube decompression should be instituted. Some patients may reestablish bowel function with a few days of “bowel rest.” However, if the obstruction persists, the decision to place agastrostomytube (which can often be placed ...
In the setting of a small bowel obstruction, leukocytosis is a concerning finding and is sometimes indicative of bowel ischemia or perforation. Electrolyte abnormalities and an elevated blood urea nitrogen : creatinine ratio are characteristic in patients who are dehydrated (e.g., bowel ...
Ischemic disease of the small bowel is increasing in incidence with the aging of the population and as improved resuscitative measures have saved patients who would have previously died of cardiovascular disease but now survive only to develop mesenteric
Small bowel obstruction in a woman with a missing percutaneous endoscopic gastrostomy tube.An 87-year-old bedridden, demented woman who was enterally fed via a percutaneous endoscopic gastrostomy (PEG) tube presented to the ED with ... A Nevler,M Zilberman - 《Emergency Medicine Journal》 被引...
Patient Rosa is on your floor with complications from a small bowel obstruction. Dr. Campisini has ordered NG or ND tube feedings, and you are preparing for the bedside procedure. Before you begin, you gather personal protective equipment, specifically gloves, and you elect to also wear a fa...
The most common presentation of patients with small-bowel tumors is obscure GI bleeding (Fig. 1). In those patients with no symptoms of obstruction, the initial test may be CE. If CE findings are within normal limits and there is low clinical suspicion (ie, no alarm symptoms, no recurrence...