6533b862fe1ef96bd12c6c84
RESEARCH PRODUCT
Is Nasobiliary Tube Really Safe A Case Report
Carmelo SciumèChiara Lo NigroEnrico ArnoneGiuseppe ModicaVita Maria MirasoloGirolamo Geracisubject
medicine.medical_specialtyCommon bile ductbusiness.industryNasobiliary tube complications esophagusGeneral surgeryGastroenterologyDysphagiaEsophageal UlcerSurgerySettore MED/18 - Chirurgia Generalemedicine.anatomical_structureEsophagusNasobiliary tubemedicinelcsh:Diseases of the digestive system. GastroenterologyMajor complicationmedicine.symptomEsophagusPublished: May 2011lcsh:RC799-869ComplicationbusinessNasobiliary tubeOdynophagiaComplicationdescription
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 tube placement has potential complications related to pressure sores. In our opinion this is a possibility to consider in informed consent forms.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2011-05-01 | Case Reports in Gastroenterology |