Duodenal necrosis during nasogastric tube feeding: A case report

MEMİŞ D., HEKİMOĞLU ŞAHİN S., Sezer A.

TRAKYA UNIVERSITESI TIP FAKULTESI DERGISI, cilt.24, sa.3, ss.252-255, 2007 (SCI-Expanded, TRDizin) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 3
  • Basım Tarihi: 2007
  • Dergi Adı: TRAKYA UNIVERSITESI TIP FAKULTESI DERGISI
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.252-255
  • Trakya Üniversitesi Adresli: Evet

Özet

A case of duodenal necrosis during nasogastric tube feeding in a 45-year-old male patient hospitalized in intensive care unit with a diagnosis of acute respiratory distress syndrome is reported with a review of literature. Abdominal distension developed after several days of uneventful nasogastric tube feeding. At laparotomy patchy necrosis of the duedonum was found without signs of bowel obstruction or impaired mesenteric perfusion. In this case, the large doses of fentanyl, midazolam and dopamine given for sedation, were suspected to be a major contributing factor to the development of the necrosis by impairing mucosal per-fusion.