Esophageal Obstruction Associated with Enteral Feedings with Nepro®: an Unreported Event
Nonihal Singh*, Suman BThapamagar and Shanker Mukherjee
Department of Internal Medicine, Easton Hospital, Easton, PA, USA
- Corresponding Author:
- Nonihal Singh, MD
Internal Medicine Residency Program
Easton Hospital, 250, South 21st Street
Easton, PA 18042, USA
E-mail: [email protected]
Received Date: June 11, 2013; Accepted Date: July 24, 2013; Published Date: July 26, 2013
Citation: Singh N, Thapamagar SB, Mukherjee S (2013) Esophageal Obstruction Associated with Enteral Feedings with Nepro®: an Unreported Event. J Gastroint Dig Syst S1:006 doi: 10.4172/2161-069X.S1-006
Copyright: © 2013 Takahashi T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
We report a unique case of esophageal obstruction related to orogastric (OG) tube feedings with Nepro. The patient was an 84 year old male who was on mechanical ventilation for severe respiratory distress. He was started on Nepro® via an OG tube. Seven days later, while reinserting the OG tube, an esophageal obstruction was identified. On the same day, esophago-gastroduodenoscopy was done for esophageal disimpaction. Subsequently, we concluded that the Nepro® feed, which precipitated and solidified, caused obstruction of the entire esophagus. We report that Nepro® feeds have the property of solidifying and causing obstruction especially in recumbent patients who do not have the benefit of gravity for food propulsion. Such obstructions have been reported for other enteral nutrition formulations, but to the best of our knowledge, this is the first reported case for Nepro® and hence it should be added to the list of complications.