title: Prolonged Barium-Impaction Ileus in Two Lung Transplant Recipients With Systemic Sclerosis: Case Report.
abstract: Lung transplantation can be a life-saving measure for people with end-stage lung disease from systemic sclerosis. However, outcomes of lung transplantation may be compromised by gastrointestinal manifestations of systemic sclerosis, which can involve any part of the gastrointestinal tract. Esophageal and gastric disease can be managed by enteral feeding with the use of a gastrojejunal feeding tube. In this report, we describe the clinical courses of 2 lung transplant recipients with systemic sclerosis who experienced severe and prolonged barium-impaction ileus after insertion of a percutaneous gastrojejunal feeding tube.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of California, San Francisco, California; Advanced Lung Disease and Lung Transplant Program, Norton Thoracic Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona. Electronic address: sofya.tokman@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Tokman
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of California, San Francisco, California.
authors.forename: S R
authors.initials: SR
authors.lastname: Hays
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of California, San Francisco, California.
authors.forename: L E
authors.initials: LE
authors.lastname: Leard
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of California, San Francisco, California.
authors.forename: E L
authors.initials: EL
authors.lastname: Bush
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of California, San Francisco, California.
authors.forename: J
authors.initials: J
authors.lastname: Kukreja
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of California, San Francisco, California.
authors.forename: M E
authors.initials: ME
authors.lastname: Kleinhenz
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of California, San Francisco, California.
authors.forename: J A
authors.initials: JA
authors.lastname: Golden
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of California, San Francisco, California.
authors.forename: J P
authors.initials: JP
authors.lastname: Singer
mesh_terms: D001464:Barium / Q000009:adverse effects*; D006801:Humans; D045823:Ileus / Q000175:diagnosis / Q000209:etiology*; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000295:instrumentation; D016040:Lung Transplantation; D008297:Male; D012595:Scleroderma, Systemic / Q000150:complications*; D066027:Transplant Recipients
chemical_list: D001464:Barium