Inadvertent insertion of nasogastric tube into the brain stem and spinal cord after endoscopic skull base surgery

Amgad S. Hanna; Christopher R. Grindle; Alpesh A. Patel; Marc R. Rosen; James J. Evans

doi:10.1016/j.amjoto.2011.04.001

Inadvertent insertion of nasogastric tube into the brain stem and spinal cord after endoscopic skull base surgery

Amgad S. Hanna, Christopher R. Grindle, Alpesh A. Patel, Marc R. Rosen, James J. Evans^*

^*Corresponding author for this work

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

A significant number of neurosurgical patients require feeding tube placement via a nasogastric route. It is used as a temporary access for enteral feeding until patients are able to swallow or receive permanent access. Despite how commonly feeding tubes are used, they are not without potential complications. We report a case of inadvertent placement of small-bore feeding tube into the brain stem and spinal cord in a patient with a history of previous endoscopic transnasal resection of clival chordoma. We discuss the management of this complication and the strategies that have been developed to avoid this complication in the future.

Original language	English (US)
Pages (from-to)	178-180
Number of pages	3
Journal	American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume	33
Issue number	1
DOIs	https://doi.org/10.1016/j.amjoto.2011.04.001
State	Published - Jan 2012

ASJC Scopus subject areas

Otorhinolaryngology

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abstract = "A significant number of neurosurgical patients require feeding tube placement via a nasogastric route. It is used as a temporary access for enteral feeding until patients are able to swallow or receive permanent access. Despite how commonly feeding tubes are used, they are not without potential complications. We report a case of inadvertent placement of small-bore feeding tube into the brain stem and spinal cord in a patient with a history of previous endoscopic transnasal resection of clival chordoma. We discuss the management of this complication and the strategies that have been developed to avoid this complication in the future.",

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AU - Rosen, Marc R.

AU - Evans, James J.

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AB - A significant number of neurosurgical patients require feeding tube placement via a nasogastric route. It is used as a temporary access for enteral feeding until patients are able to swallow or receive permanent access. Despite how commonly feeding tubes are used, they are not without potential complications. We report a case of inadvertent placement of small-bore feeding tube into the brain stem and spinal cord in a patient with a history of previous endoscopic transnasal resection of clival chordoma. We discuss the management of this complication and the strategies that have been developed to avoid this complication in the future.

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Inadvertent insertion of nasogastric tube into the brain stem and spinal cord after endoscopic skull base surgery

Abstract

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