Medical image of the week: Dobhoff tube placement with Roux-en-Y gastric bypass

Autor: Ali H, Ateeli H, Natt B, Chaudhary S
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Southwest Journal of Pulmonary and Critical Care, Vol 16, Iss 4, Pp 226-227 (2018)
Druh dokumentu: article
ISSN: 2160-6773
DOI: 10.13175/swjpcc045-18
Popis: No abstract available. Article truncated after 150 words. Roux-en-Y gastric bypass is one of the most commonly performed bariatric operations in the United States. It involves partitioning a small gastric pouch off the proximal stomach and attaching that pouch directly to the intestine, thereby bypassing the large remainder of the stomach (1,2). Placing a Dobhoff tube (DHT) and confirming its placement can be challenging due to the change in anatomy after the procedure. Here, we have a 65-year-old woman who presented to the hospital with acute encephalopathy and acute hypoxic respiratory failure due to multifocal pneumonia requiring intubation and prolonged ICU stay. A DHT was inserted after intubation for feeding purposes. An abdominal X-ray was obtained to confirm placement of the DHT (Figure 1). Normally the DHT tip should be placed in the 2nd to 3rd portion of the duodenum and would create a C-shaped tracing on the X-ray. However, in our patient who had history of Roux-en-Y …
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