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Gastrointestinal obstruction caused by solidification and coagulation of enteral nutrition: pathogenetic mechanisms and potential risk factors

 

Authors Leonello G, Rizzo AG, Di Dio V, Soriano A, Previti C, Pantè GG, Mastrojeni C, Pantè S

Received 26 May 2017

Accepted for publication 11 October 2017

Published 9 April 2018 Volume 2018:11 Pages 81—85

DOI https://doi.org/10.2147/IMCRJ.S142695

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Professor Ronald Prineas

Abstract: Enteral nutrition (EN) is preferred in order to provide nutrition and reduce catabolism in critically ill patients. Recent studies suggest that the use of EN is successful and complications are rare. However, an underestimated mechanical complication of tube feedings seen in critically ill patients is the coagulation and solidification of the EN causing gastrointestinal obstruction. This report describes two clinical cases (1.23% of all cases seen at our clinic) of obstruction and perforation of the small bowel secondary to the solidification of EN. The understanding and early recognition of this potential complication are essential for the prevention and successful treatment of this condition.
Keywords: enteral nutrition, gastrointestinal contents, intestinal obstruction, small-bowel bezoar

 


摘要视频链接GI obstruction by solidification and coagulation of enteral nutrition