Читать книгу Emergency Management of the Hi-Tech Patient in Acute and Critical Care - Группа авторов - Страница 35

Ulcerations from enteric feeding devices can be at the proximal and distal ends of the tubing. For both NG and G‐tubes, the pressure of the device against the nasal ala and abdominal wall, respectively, can lead to local superficial bleeding. Bleeding that comes directly from a tube aspirate is more indicative of GI tract bleeding. In the case of an NG tube, the tubing can irritate the lining of the esophagus and develop into esophageal ulceration. For a G‐tube, the pressure of the internal retention device against the stomach lining can form an ulcer. Superficial ulcerations can be treated with tube repositioning, but internal ulcerations require tube removal to allow for healing.