Abstract
In 1790 the British physician John Hunter first introduced gastric intubation as an artificial means of feeding a paralyzed patient (1). During the last century William Beaumont’s classic studies of gastric juice led to further utilization of such tubes in the analysis of digestive functions of the stomach (2). More recently, however, technical refinements have made gastrointestinal intubation a routine procedure in medical and surgical management of many abdominal disorders. The principal application of this technique is in intestinal decompression in patients with obstructive symptoms or paralytic ileus (3,4). Flexible tubes are also placed into the gastrointestinal tract for various other diagnostic or therapeutic purposes, including alimentation with liquefied food (5–7), hypotonic duodenography, enteroclysis, gastrointestinal secretory tests, and mucosal biopsy (8–13).
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References
Palmer JS: The Complete Works of John Hunter, vol 4. Philadelphia: Haswell, Barrington & Haswell 1841, p 185
Ingelfinger FJ: Tubes. Gastroenterology 74: 310–318, 1978
Cantor MO: Intestinal Intubation. Springfield, 111.: Thomas 1949
Harris FI, Gordon M: Intestinal intubation in small bowel distention and obstruction: Further experiences with the single lumen mercury weighted tube and analysis of complications. Surg Gynecol Obstet 86: 647–658, 1948
Rhea JW, Ghazzawi O, Weidman W: Nasojejunal feeding: An improved device and intubation technique. J Pediatr 82: 951–954, 1973
Pareira MD, Conrad EJ, Hicks W, et al: Therapeutic nutrition with tube feeding. JAMA 156: 810–816, 1954
Fallis LS, Barron J: Gastric and jejunal alimentation with fine polyethylene tubes. Arch Surg 65: 373–381, 1952
Bilbao MK, Frische LH, Dotter CT, et al: Hypotonie duodenography. Radiology 89: 438–443, 1967
Eaton SB, Benedict KT, Ferrucci JT, et al: Hypotonie duodenography. Radiol Clin North Am 8: 125–137, 1970
Herlinger H: A modified technique for the double-contrast small bowel enema. Gastrointest Radiol 3: 201–207, 1978
Hall WH, Hodges SC: Effect of fluoroscopic tube placement on basal gastric secretion collections. South Med J 69: 164–166, 1976
Palmer ED: Duodenal intubation. JAMA 233: 818–819, 1975
Flick AL, Quinton WE, Rubin CE: A peroral hydraulic biopsy tube for multiple sampling at any level of the gastrointestinal tract. Gastroenterology 40: 120–126, 1961
Astley R, Roberts KD: Intubation perforation of the esophagus in the newborn baby. Br J Radiol 43: 219–223, 1970
Boros SJ, Reynolds JW: Duodenal perforation: A complication of neonatal nasojejunal feeding. J Pediatr 85: 107–108, 1974
Chen JW, Wong PWK: Intestinal complications of nasojejunal feeding in low-birth-weight infants. J Pediatr 85: 109–110, 1974
Girdany BR, Sieber WK, Osman MZ: Traumatic pseudodiverticulums of the pharynx in newborn infants. N Engl J Med 280: 237–240, 1969
Kassner EG, Baumstark A, Balsam D, et al: Passage of feeding catheters into the pleural space: A radiographic sign of trauma to the pharynx and esophagus in the newborn. Am J Roentgenol 128: 19–22, 1977
Lee SB, Kuhn JP: Esophageal perforation in the neonate. A review of the literature. Am J Dis Child 130: 325–329, 1976
Siegle RL, Rabinowitz JG, Sarasohn C: Intestinal perforation secondary to nasojejunal feeding tubes. Am J Roentgenol 126: 1229–1232, 1976
Sun SC, Samuels S, Lee J, et al: Duodenal perforation: A rare complication of neonatal nasojejunal tube feeding. J Pediatr 55: 371–375, 1975
Bruny SJA: Hazards of intestinal intubation. Am J Roentgenol 79: 862–865, 1958
Hafner CD, Wylie JH Jr, Brush BE: Complications of gastrointestinal intubation. Arch Surg 83: 147–160, 1961
Rozanski J, Kleinfeld M: A complication of prolonged intestinal intubation: Gaseous distention of the terminal balloon. Am J Dig Dis 20:1067– 1070, 1975
Siemers PT, Reinke RT: Perforation of the naso-pharynx by nasogastric intubation: A rare cause of left pleural effusion and pneumomediastinum. Am J Roentgenol 127: 341–343, 1976
Sower N, Wratten GP: Intussusception due to intestinal tubes. Case reports and review of literature. Am J Surg 110: 441–444, 1965
Adams CL: The complications of endoesophageal tubes. J Thorac Cardio vase Surg 51: 685–693, 1966
Zeid SS, Young PD, Reeves JT: Rupture of the esophagus after introduction of the Sengstaken-Blakemore tube. Gastroenterology 36: 128–131, 1959
Seebacher J, Nozik D, Mathieu A: Inadvertent intracranial introduction of a nasogastric tube, a complication of severe maxillofacial trauma. Anesthesiology 42: 100–102, 1975
Stauffer JL, Petty TL: Accidental intubation of the pyriform sinus. A complication of “roadside” resuscitation. JAMA 237: 2324–2325, 1977
Wolff AP, Kessler S: Iatrogenic injury to the hypopharynx and cervical esophagus: An autopsy study. Ann Otolaryngol 82: 778–783, 1973
Tubes in the oesophagus (editorial). Lancet 1: 491–492, 1974
Iglauer S, Molt WF: Severe injury to the larynx resulting from indwelling duodenal tube. Ann Otol 48: 886–892, 1939
Nagler R, Spiro HM: Persistent gastroesophageal reflux induced during prolonged gastric intubation. N Engl J Med 269: 495–500, 1963
Lucaya J, Herrera M, Salcedo S: Traumatic pharyngeal pseudodiverticulum in neonates and infants. Two case reports and review of the literature. Pediatr Radiol 8: 65–69, 1979
Hirsch M, Abramowitz HB, Shapira S, et al: Hypopharyngeal injury as a result of attempted endotracheal intubation. Radiology 128: 37–39, 1978
Wolff AP, Kuhn FA, Ogura JH: Pharyngeal-esophageal perforations associated with rapid oral endotracheal intubation. Ann Otolaryngol 81: 258–261, 1972
Meyers MA, Ghahremani GG: Complications of fiberoptic endoscopy. I. Esophagoscopy and gastroscopy. Radiology 115: 293–300, 1975
Meyers MA, Ghahremani GG: Complications of gastrointestinal fiberoptic endoscopy. Gastroin-test Radiol 2: 273–280, 1977
Eklóf O, Lóhr G, Okmian L: Submucosal perforation of the esophagus in the neonate. Acta Radiol (Diagn) 8: 187–192, 1969
Lynch FP, Coran AG, Cohen SR, et al: Traumatic esophageal pseudodiverticula in the newborn. J Pediatr Surg 9: 675–681, 1974
Sengstaken RW, Blakemore AH: Balloon tamponade for the control of hemorrhage from esophageal varices. Ann Surg 131: 781–789, 1950
Conn HO, Simpson JA: Excessive mortality associated with balloon tamponade of bleeding varices. A critical reappraisal. JAMA 202:587– 591, 1967
Conn HO: Hazards attending the use of esophageal tamponade. N Engl J Med 259: 701–707, 1958
Hermann RE, Traul D: Experience with the Sengstaken-Blakemore tube for bleeding esophageal varices. Surg Gynecol Obstet 130: 879–885, 1970
Juffe A, Tellez G, Eguaras MG, et al: Unusual complication of the Sengstaken-Blakemore tube. Gastroenterology 72: 724–725, 1977
Bouchier IAD: Impaction of the Sengstaken-Blakemore tube. Gastroenterology 45: 274–278, 1963
Linton RR: The emergency and definitive treatment of bleeding esophageal varices. Gastroenterology 24: 1–9, 1953
Rosoff L, White EJ: Perforation of the esophagus. Am J Surg 128: 207–215, 1974
Carter R, Hinshaw DB: Use of the Celestin indwelling plastic tube for inoperable carcinoma of the esophagus and cardia. Surg Gynecol Obstet 117: 641–644, 1963
O’Connor T, Watson R, Lepley D Jr, et al: Esophageal prosthesis for palliative intubation. Arch Surg 87: 257–279, 1963
Peura DA, Heit HA, Johnson LF, et al: Esophageal prosthesis in cancer. Am J Dig Dis 23: 796–800, 1978
Girardet RE, Ransdell HT Jr, Wheat MW Jr: Palliative intubation in the management of esophageal carcinoma. Ann Thorac Surg 18: 417–427, 1974
Palmer ED: Peroral prosthesis for management of incurable esophageal carcinoma. Am J Gastroenterol 59: 487–498, 1973
Mackenzie AS, Whyte AS, Tankel HI: Structural deterioration in Celestin tubes. Br J Surg 63: 851–852, 1976
Bartlett RH: A procedure for management of acquired tracheoesophageal fistula in ventilator patients. J Thorac Cardiovasc Surg 71: 89–95, 1976
Thomas AN: Management of tracheoesophageal fistula caused by cuffed tracheal tubes. Am J Surg 124: 181-189
Moessinger AC, Driscoll JM Jr, Wigger HJ: High incidence of lung perforation by chest tube in neonatal pneumothorax. J Pediatr 92: 635–637, 1978
Stahly TL, Tench WD: Lung entrapment and infarction by chest tube suction. Radiology 122: 307–309, 1977
Johnson KR, Genovesi MG, Lassar KH: Esophageal obturator airway: Use and complications. J Am Coll Emerg Physician 5: 36–39, 1976
Pilcher DB, DeMeules JE: Esophageal perforation following use of esophageal airway. Chest 69: 377–380, 1976
Scholl DG, Tsai SH: Esophageal perforation following the use of the esophageal obturator airway. Radiology 122: 315–316, 1977
Carlson WJ, Hunter SW, Bonnabeau RC Jr: Esophageal perforation with obturator airway. JAMA 241: 1154–1155, 1979
Stewart ET, Miller WN, Hogan WJ, et al: Desirability of roentgen esophageal examination immediately after pneumatic dilatation for achalasia. Radiology 130: 589–591, 1979
Zegel HG, Kressel HY, Levine GM, et al: Delayed esophageal perforation after pneumatic dilatation for the treatment of achalasia. Gastrointest Radiol 4: 219–221, 1979
Berry BE, Ochsner JL: Perforation of the esophagus. A 30 year review. J Thorac Cardiovasc Surg 65: 1–7, 1973
Banfield WJ, Hurwitz AL: Esophageal stricture associated with nasogastric intubation. Arch Intern Med 134: 1083–1086, 1974
Waldman I, Berlin L: Stricture of the esophagus due to nasogastric intubation. Am J Roentgenol 94: 321–324, 1965
Douglas WK: Esophageal strictures associated with gastroduodenal intubation. Br J Surg 43: 404–409, 1955
Ghahremani GG, Turner MA, Port RB: Iatrogenic intubation injuries of the upper gastrointestinal tract in adults. Gastrointest Radiol 5: 1–10, 1980
Drenick EJ, Lipset M: Difficulty with removal of plastic nasogastric tube (letter). JAMA 218: 1573, 1971
Barton CH, Vaziri ND, Ness RL, et al: Cimetidine in the management of metabolic alkalosis induced by nasogastric drainage. Arch Surg 114: 70–74, 1979
Larsen PD: Knotted nasogastric tubing. JAMA 238: 211–212, 1977
Morris HH: Nasogastric intubation: A potentially knotty problem (letter). JAMA 237: 1432, 1977
Shulman H: Passing the Cantor tube in a patient with a gastroenterostomy: An unusual complication. Am J Roentgenol 110: 332–333, 1970
Cantor MO: Intestinal intubation (letter). JAMA 205: 251, 1968
Rennel CL: Intubation with telescoping of small bowel. Radiology 97: 155–156, 1970
McGoon DC: Intussusception: Hazard of intestinal intubation. Surgery 40: 515–519, 1956
Simonowitz D, Paloyan D: Intussusception associated with intestinal intubation. Illinois M J 155: 21–23, 1979
Poppel MH, Brinsley B: Ileal intussusception as result of intestinal intubation. JAMA 169:1189– 1190, 1959
Coffey ME, Gordon MJ, Mayes GR: Gaseous distention of an intestinal tube bag relieved by transabdominal puncture. Ann Intern Med 85: 480–481, 1976
Coleman SL, Miller WE, Stroehlein JR, et al: Nonoperative retrieval of an impacted long intestinal tube. Am J Dig Dis 22: 462–464, 1977
Fricke FJ, Niewodowski MA: Hazardous gaseous distention of intestinal balloons. JAMA 235: 2611–2613, 1976
Herschman A, Phillips JC: Knotted intestinal decompression tube (letter). JAMA 204: 634, 1968
Khan JH, Cooper HF: Intestinal intubation (letter). JAMA 205: 251–252, 1968
De Barros SG, Lane MF, Trotman BW: Longtube coiling in enterocolonic fistula. JAMA 241: 2636, 1979
Dobbins WO, Trier JS, Parkins RA, et al: A warning regarding the dangers of hydraulic biopsy in gastrointestinal research. Gastroenterology 45: 335–340, 1963
Meyers MA, Ghahremani GG, Govoni AF: Ischemic colitis associated with sigmoid volvulus: New observations. Am J Roentgenol 128: 591–595, 1977
Nelson JA, Daniels AU, Dodds WJ: Rectal balloons: Complications, causes, and recommendations. Invest Radiol 14: 48–59, 1979
Ansell G: Complications in Diagnostic Radiology. Oxford: Blackwell 1974, pp 339–350
Rabinovitch J, Rabinovitch P: Massive bleeding from common bile duct caused by indwelling T-tube. Arch Surg 69: 849–852, 1954
Grove WJ: Biliary tract hemorrhage as a cause of hematemesis. Arch Surg 83: 67–72, 1961
Campbell DA: Discussion of Guynn VL, Reynolds JT: Surgical management of hemobilia. Arch Surg 83: 73–80, 1961
Moreaux J, Bismuth H, Lagneau P: Les hémobilies post-opértoires par lésion artérielle pédiculaire. Ann Chir 20: 368–375, 1966
Boijsen E, Gôthlin J, Hallbook T, et al: Preoperative angiographie diagnosis of bleeding aneurysms of abdominal viscera. Radiology 93: 781–791, 1969
Sandblom P, Mirkovitch V, Saegesser F: Formation and fate of fibrin clots in the biliary tract: A clinical and experimental study. Ann Surg 185: 356–366, 1977
Grosfeld JL, Cooney DR, Smith J, et al: Intra-abdominal complications following ventriculo-peritoneal shunt procedures. Pediatrics 54:791– 796, 1974
Chuang VP, Fried AM, Oliff M, et al: Abdominal CSF pseudocyst secondary to ventriculoperito-neal shunt: Diagnosis by computed tomography in two cases. J Comput Assist Tomogr 2: 88–91, 1978
Norfray JF, Henry HM, Givens JD, et al: Abdominal complications from peritoneal shunts. Gastroenterology 77: 337–340, 1979
Wood BP, Haller JO, Berdon WE, et al: Shunt metastases of pineal tumors presenting as a pelvic mass. Pediatr Radiol 8: 108–109, 1979
Azimi F, Dinn WM, Naumann RA: Intestinal perforation. An infrequent complication of ventriculo-peritoneal shunts. Radiology 121: 701–702, 1976
Lee FA, Gwinn JL: Complications of ventriculo-peritoneal shunts. Ann Radiol 18: 471–478, 1975
Schulhof LA, Worth RM, Kalsbeck JE: Bowel perforation due to peritoneal shunt. A report of seven cases and a review of the literature. Surg Neurol 3: 265–269, 1975
Krebs RA, Burtiss BB: Bowel perforation. A complication of peritoneal dialysis using a permanent peritoneal cannula. JAMA 198: 486–487, 1966
Mion CM, Boen ST: Analysis of factors responsible for the formation of adhesions during chronic peritoneal dialysis. Am J Med Sei 250: 675–679, 1965
Rubin J, Oreopoulos DG, Lio TT, et al: Management of peritonitis and bowel perforation during chronic peritoneal dialysis. Nephron 16: 220–225, 1976
Simkin EP, Wright FK: Perforating injuries of the bowel complicating peritoneal catheter insertion. Lancet 1: 64–67, 1968
Vaamonde CA, Michael UF, Metzger RA, et al: Complications of acute peritoneal dialysis. J Chron Dis 28: 637–659, 1975
Wiener SN, Vertes V, Shapiro H: The upper gastrointestinal tract in patients undergoing chronic dialysis. Radiology 92: 110–114, 1969
Lipschutz DE, Easterling RE: Spontaneous perforation of the colon in chronic renal failure. Arch Intern Med 132: 758–762, 1973
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Ghahremani, G.G. (1981). Complications of Gastrointestinal Intubation. In: Iatrogenic Gastrointestinal Complications. Radiology of Iatrogenic Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5853-7_3
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DOI: https://doi.org/10.1007/978-1-4612-5853-7_3
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