1. Over-the-scope-clip system secured nasojejunal tube feeding in refractory hyperemesis gravidarum
- Author
-
Jan Kubovy, Fali Langdana, Rees Cameron, and Agnieszka Them
- Subjects
medicine.medical_specialty ,Nausea ,Vomiting ,Enteral administration ,Article ,03 medical and health sciences ,Hyperemesis gravidarum ,0302 clinical medicine ,Pharmacotherapy ,Enteral Nutrition ,Pregnancy ,Hyperemesis Gravidarum ,Weight Loss ,medicine ,Humans ,Feeding tube ,Intubation, Gastrointestinal ,030219 obstetrics & reproductive medicine ,business.industry ,General Medicine ,Nasojejunal Tube ,medicine.disease ,Surgical Instruments ,Surgery ,Hospitalization ,Pregnancy Complications ,Treatment Outcome ,Antiemetics ,030211 gastroenterology & hepatology ,Female ,Parenteral Nutrition, Total ,medicine.symptom ,business - Abstract
Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting in pregnancy. It complicates up to 2% of all pregnancies and can be associated with adverse outcomes. Its management commonly involves a combination pharmacotherapy, however, the efficacy of such treatment is limited. Supplemental nutrition is often required in refractory cases. Enteral route is preferred over parenteral, given the high rate of intravenous catheter-related complications. Enteral feeding tube placement can be challenging and is commonly thwarted by dislodgement. We present a pharmacotherapy refractory HG case where the over-the-scope-clip (OTSC) system was successfully used for durable mucosal fixation of the nasojejunal feeding tube.
- Published
- 2017