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Case of nasogastric tube dysfunction
  1. Florian Rainer1,
  2. Guenther Prenner2,
  3. Lukas Peter Binder1,
  4. Peter Fickert1,
  5. Johannes Plank1
  1. 1 Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Graz, Styria, Austria
  2. 2 Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Styria, Austria
  1. Correspondence to Dr Florian Rainer, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Medical University of Graz 8036, Austria ; florian.rainer{at}medunigraz.at

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Clinical presentation

An elderly female patient was admitted to intensive care for prolonged vasopressor therapy and mechanical ventilation after cardiac arrest and acute percutaneous coronary intervention. Antiplatelet, thyroid hormone replacement and statin therapies were administered through a 14-French nasogastric tube (Nestlé Health Science) and enteral feeding was initiated. Correct position of the nasogastric tube was confirmed radiologically. On the seventh day in the intensive care, our patient was seen to regurgitate soft crumbs into her mouth. The blocked nasogastric tube was removed, but attempts to reinsert another tube failed.

Upper GI endoscopy revealed …

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