Gastrointestinal Radiology

, Volume 5, Issue 1, pp 1–10 | Cite as

Iatrogenic intubation injuries of the upper gastrointestinal tract in adults

  • Gary G. Ghahremani
  • Mary Ann Turner
  • Ronald B. Port


Perforation of the hypopharynx, esophagus, and stomach complicated the insertion of flexible tubes in 11 adults. Nasogastric suction tubes were responsible for 5 instances of gastric perforation. Palliative intubation of obstructive carcinomas of the distal esophagus resulted in delayed perforation of the esophagus and stomach in 2 cases. The use of a Linton tube for decompression of bleeding varices caused esophageal rupture in 1 patient whereas 2 others developed pharyngoesophageal perforation due to misplaced endotracheal tubes. The remaining 1 case demonstrated penetration of a chest tube into the esophageal lumen. The radiographic features and mechanisms of these iatrogenic injuries are described and the pertinent literature is reviewed.


Esophagus, perforation Gastrointestinal intubation, complications Stomach, injury 


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Copyright information

© Springer-Verlag New York Inc. 1980

Authors and Affiliations

  • Gary G. Ghahremani
    • 1
  • Mary Ann Turner
    • 2
  • Ronald B. Port
    • 1
  1. 1.Department of Diagnostic RadiologyEvanston Hospital-Northwestern UniversityEvanstonUSA
  2. 2.Department of Diagnostic RadiologyMedical College of Virginia HospitalsRichmondUSA

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