Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer: Case report and review of the literature

Nasogastric tubes (NGTs) are important for feeding, stenting and decompression after gastrointestinal surgeries, particularly in the upper gastrointestinal tract. Resistance in the removal of a NGT is a rare surgical complication and may be due to a knot in the tube or a stitch anchoring the tube to...

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Main Authors: Ayman Z. Azzam, Kareem A. Azzam, Tarek Amin
Format: Article
Language:English
Published: Sultan Qaboos University 2018-04-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/2534
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spelling doaj-11b8b7dabab545ff929176e87e397d732020-11-25T02:53:10ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal 2075-051X2075-05282018-04-0118111011110.18295/squmj.2018.18.01.0202337Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer: Case report and review of the literatureAyman Z. Azzam0Kareem A. Azzam1Tarek Amin2Department of General Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt; Department of Surgical Oncology, Oncology Center, King Faisal Specialist Hospital & Research Center, RiyadhCheeloo College of Medicine, Shandong University, Jinan, ShandongDepartment of Surgical Oncology, Oncology Center, King Faisal Specialist Hospital & Research Center, RiyadhNasogastric tubes (NGTs) are important for feeding, stenting and decompression after gastrointestinal surgeries, particularly in the upper gastrointestinal tract. Resistance in the removal of a NGT is a rare surgical complication and may be due to a knot in the tube or a stitch anchoring the tube to an anastomosis. We report a 41-year-old male patient who was admitted to the King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia, in 2015 with stomach cancer. He underwent a radical total gastrectomy with a Roux-en-Y oesophagojejunostomy. One week after the surgery, removal of the NGT was attempted; however, this was very difficult and the proximal end of the tube was cut off as a temporary measure. Six weeks later, an upper gastrointestinal tract endoscopy revealed that the distal end of the NGT had been accidentally stitched to the Roux-en-Y oesophagojejunostomy. The stitch was removed and the rest of the NGT was successfully extracted using a snare.https://journals.squ.edu.om/index.php/squmj/article/view/2534enteral nutritiongastrointestinal intubationroux-en-y anastomosisgastrectomycase reportsaudi arabia.
collection DOAJ
language English
format Article
sources DOAJ
author Ayman Z. Azzam
Kareem A. Azzam
Tarek Amin
spellingShingle Ayman Z. Azzam
Kareem A. Azzam
Tarek Amin
Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer: Case report and review of the literature
Sultan Qaboos University Medical Journal
enteral nutrition
gastrointestinal intubation
roux-en-y anastomosis
gastrectomy
case report
saudi arabia.
author_facet Ayman Z. Azzam
Kareem A. Azzam
Tarek Amin
author_sort Ayman Z. Azzam
title Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer: Case report and review of the literature
title_short Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer: Case report and review of the literature
title_full Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer: Case report and review of the literature
title_fullStr Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer: Case report and review of the literature
title_full_unstemmed Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer: Case report and review of the literature
title_sort removal of nasogastric tube accidentally stitched to roux-en-y oesophagojejunostomy following a radical gastrectomy for stomach cancer: case report and review of the literature
publisher Sultan Qaboos University
series Sultan Qaboos University Medical Journal
issn 2075-051X
2075-0528
publishDate 2018-04-01
description Nasogastric tubes (NGTs) are important for feeding, stenting and decompression after gastrointestinal surgeries, particularly in the upper gastrointestinal tract. Resistance in the removal of a NGT is a rare surgical complication and may be due to a knot in the tube or a stitch anchoring the tube to an anastomosis. We report a 41-year-old male patient who was admitted to the King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia, in 2015 with stomach cancer. He underwent a radical total gastrectomy with a Roux-en-Y oesophagojejunostomy. One week after the surgery, removal of the NGT was attempted; however, this was very difficult and the proximal end of the tube was cut off as a temporary measure. Six weeks later, an upper gastrointestinal tract endoscopy revealed that the distal end of the NGT had been accidentally stitched to the Roux-en-Y oesophagojejunostomy. The stitch was removed and the rest of the NGT was successfully extracted using a snare.
topic enteral nutrition
gastrointestinal intubation
roux-en-y anastomosis
gastrectomy
case report
saudi arabia.
url https://journals.squ.edu.om/index.php/squmj/article/view/2534
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AT kareemaazzam removalofnasogastrictubeaccidentallystitchedtorouxenyoesophagojejunostomyfollowingaradicalgastrectomyforstomachcancercasereportandreviewoftheliterature
AT tarekamin removalofnasogastrictubeaccidentallystitchedtorouxenyoesophagojejunostomyfollowingaradicalgastrectomyforstomachcancercasereportandreviewoftheliterature
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