Nasogastric Tube Placement and Esophageal Perforation in Extremely Low Birth Weight Infants

Pediatr Neonatol. 2016 Oct;57(5):427-430. doi: 10.1016/j.pedneo.2013.10.011. Epub 2014 Jan 13.

Abstract

Perforation of the esophagus associated with placement of nasogastric tubes is not uncommon in preterm infants. Herein we report three cases of iatrogenic esophageal perforation associated with nasogastric tube placement. With nonsurgical management of parenteral nutrition and broad-spectrum antimicrobial therapy, all three neonates survived without sequelae. Effective strategies to prevent such complications are discussed.

Keywords: esophageal perforation; extremely low-birth-weight infant; nasogastric tube placement; nonsurgical management.

Publication types

  • Case Reports

MeSH terms

  • Enteral Nutrition
  • Esophageal Perforation / diagnosis
  • Esophageal Perforation / etiology*
  • Esophageal Perforation / therapy*
  • Female
  • Humans
  • Infant, Extremely Low Birth Weight
  • Infant, Newborn
  • Infant, Premature
  • Infant, Premature, Diseases / diagnosis
  • Infant, Premature, Diseases / etiology
  • Infant, Premature, Diseases / therapy*
  • Intubation, Gastrointestinal / adverse effects*
  • Male
  • Parenteral Nutrition