title: Nasogastric Tube Placement and Esophageal Perforation in Extremely Low Birth Weight Infants.
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.
authors.affiliation: Department of Pediatrics, Show Chwan Memorial Hospital, Changhua, Taiwan.
authors.forename: Su-Boon
authors.initials: SB
authors.lastname: Yong
authors.affiliation: Department of Pediatrics, Feng-Yuan Hospital, Ministry of Health and Welfare, Executive Yuan, Taichung, Taiwan; College of General Education, Hungkuang University, Taichung, Taiwan. Electronic address: jma052968@gmail.com.
authors.forename: Jui-Shan
authors.initials: JS
authors.lastname: Ma
authors.affiliation: Division of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
authors.forename: Feng-Shun
authors.initials: FS
authors.lastname: Chen
authors.affiliation: Division of Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
authors.forename: Mei-Yung
authors.initials: MY
authors.lastname: Chung
authors.affiliation: Department of Medical Research, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan.
authors.forename: Kuender D
authors.initials: KD
authors.lastname: Yang
mesh_terms: D004750:Enteral Nutrition; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D008297:Male; D010288:Parenteral Nutrition
keywords: esophageal perforation; extremely low-birth-weight infant; nasogastric tube placement; nonsurgical management