Enteral feed obstructing its own way.
Esophageal obstruction due to solidified enteral feeds is a rare but distressful complication in intensive care unit (ICU) patients. It has been suggested that gastroesophageal reflux, very low gastric pH, decreased pepsin and pancreatic enzyme secretions may be responsible for the solidification of casein containing enteral formulas. Recognition and avoidance of these factors will prevent such complication.
Department of Intensive Care Medicine, Blacktown Hospital, Blacktown Road, Blacktown NSW 2148, Australia.
Vikas
V
Kesarwani
Dhaval R
DR
Ghelani
Graham
G
Reece
Am J Gastroenterol. 1989 Feb;84(2):205-6
2492758
Br Med J (Clin Res Ed). 1986 Sep 6;293(6547):596-7
3092942
Am J Surg. 1993 Feb;165(2A Suppl):68S-74S
8439002
Anaesth Intensive Care. 1993 Jun;21(3):372-4
8342778
Intensive Care Med. 1991;17(5):302-3
1939878
Lancet. 1986 Mar 29;1(8483):747-8
2870263
Crit Care Med. 1995 Jan;23(1):208-10
8001374
JPEN J Parenter Enteral Nutr. 1996 Sep-Oct;20(5):371-3
8887907
N Engl J Med. 1983 Dec 1;309(22):1387
6688855
JPEN J Parenter Enteral Nutr. 1983 Nov-Dec;7(6):546-52
6418910