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Case Report

A Case of Esophagogastric Ulcer in Patient with Nasogastric(NG) Tube Remnant on Stomach

Bo Mi Shin, Ha Suk Bae, Tae Sik Yoon
2010;33(2):105-108. Published online: September 30, 2010

Department of Rehabilitation, Ewha Womans University College of Medicine, Korea.

Corresponding author: Ha Suk Bae. (acebhs@ewha.ac.kr)

Copyright © 2010. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Background
    Post stroke dysphagia is a common disorder presented in 30-65% of stroke patients. It can result in severe complication such as aspiration pneumonia. Thus nutritional support with nasogastric(NG) feeding tube is needed in these patients. But this method is not recommended more than 4 weeks. In the patients with severe dysphagia, the percutaneous endoscopic gastrostomy(PEG) is recommended in respective with the complication and prognosis.
  • Case Presentation
    We experienced a case of 46 year-old-male with esophagogastric ulcer because of remnant NG feeding tube on stomach. He had not a special past history until admission. He was bedridden and quadriplegic state due to spontaneous intracranial hemorrhage on both fronto-parietal lobe and subdural hemorrhage. NG feeding tube(polyvinyl chloride, 16 French) was inserted because of severe dysphagia and the clinicians attempted the PEG tube insertion but removed the PEG tube due to the sepsis with wound infection and reinserted NG feeding tube. After transfer into our hospital, a sudden blood clot from NG feeding tube was drained. We performed gastrofibroscopic examination and found NG feeding tube remnant (23cm) on stomach. It was removed and multiple esophagogastric linear ulcer with hemorrhage due to exposed vessel was observed. He obtained nutrition by total parenteral nutrition for 4 weeks after that. On follow up gastrofibroscopic examination, esophagogastric ulcers were being healing. So we tried PEG tube insertion again but failed because of granulation tissue on previous PEG tube insertion site and inserted NG feeding tube. After 3 months, he was inserted PEG tube and being supported sufficient nutrition.
  • Conclusion
    Many complications are associated with the prolonged NG feeding tube insertion. So recent studies showed alternative method in case of prolonged dysphagia. We report a case with esophagogastric ulcer associated with remnant NG feeding tube on stomach.
  • Keywords: Nasogastric tube; Esophagogastric ulcer; Percutaneous endoscopic gastrostomy

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      A Case of Esophagogastric Ulcer in Patient with Nasogastric(NG) Tube Remnant on Stomach
      Ihwa Ŭidae chi. 2010;33(2):105-108.   Published online September 30, 2010
      DOI: https://doi.org/10.12771/emj.2010.33.2.105
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      A Case of Esophagogastric Ulcer in Patient with Nasogastric(NG) Tube Remnant on Stomach
      Ihwa Ŭidae chi. 2010;33(2):105-108.   Published online September 30, 2010
      DOI: https://doi.org/10.12771/emj.2010.33.2.105
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      A Case of Esophagogastric Ulcer in Patient with Nasogastric(NG) Tube Remnant on Stomach
      A Case of Esophagogastric Ulcer in Patient with Nasogastric(NG) Tube Remnant on Stomach
      Ewha Med J : Ewha Medical Journal

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