Is Nasobiliary Tube Really Safe A Case Report

Autor: Girolamo Geraci, Enrico Maria Arnone, Chiara Lo Nigro, Vita Maria Mirasolo, Carmelo Sciumè, Giuseppe Modica
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Case Reports in Gastroenterology, Vol 5, Iss 2, Pp 283-287 (2011)
Druh dokumentu: article
ISSN: 1662-0631
DOI: 10.1159/000328734
Popis: A case of esophageal ulcer caused by nasobiliary tube is described. This tool is not routinely considered to be a cause of major complications in the literature and to our knowledge, this is the first report of this kind of complication in nasobiliary tube placement. A 72-year-old patient presented with Charcot’s triad and was demonstrated to have cholangitis with multiple biliary stones in the common bile duct. Biliary drainage was achieved through endoscopic retrograde cholangiography, endoscopic sphincterotomy, biliary tree drainage and nasobiliary tube with double pigtail. The patient presented odynophagia, dysphagia and retrosternal pain 12 h after the procedure and upper endoscopy revealed a long esophageal ulcer, which was treated conservatively. This report provides corroboration of evidence that nasobiliary tubeplacement has potential complications related to pressure sores. In our opinion this is a possibility to consider in informed consent forms.
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