Sonographic confirmation of the correct placement of a nasoenteral tube in a woman with hyperemesis gravidarum: case report.

Abstract

Hyperemesis gravidarum is a serious systemic disorder of pregnant women characterized by intractable vomiting resulting in metabolic, biochemical, and hematologic changes. Enteral nutrition has been used successfully and has a lower complication rate than parenteral nutrition. Tube feeding requires location of the feeding tube tip before the infusion of nutritional substance is started. We report a case of assisted feeding tube tip location using real time sonography in a pregnant women treated for hyperemesis gravidarum. Sonographic examination may be used as an alternative to x-ray for the confirmation of feeding tube location in pregnant women and thus eliminate exposure of the fetus to ionizing radiation.

• Authors: Ty K Swartzlander, S J Carlan, Greg Locksmith, Luke Elms
• Journal: Journal of clinical ultrasound : JCU (J Clin Ultrasound) 2013 Nov-Dec Vol. 41 Suppl 1 Pg. 18-21 ISSN: 1097-0096 [Electronic] United States
• PMID: 23355320 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013 Wiley Periodicals, Inc., A Wiley Company.

Topics

• Adult
• Enteral Nutrition (instrumentation, methods)
• Female
• Humans
• Hyperemesis Gravidarum (diagnostic imaging, therapy)
• Intubation, Gastrointestinal (instrumentation, methods)
• Pregnancy
• Ultrasonography, Doppler, Color
• Ultrasonography, Interventional