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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
| Section 9. Gastrointestinal Emergencies > |
Chapter 89. Gastrointestinal Procedures and Devices
Sections: Nasogastric Aspiration, Anoscopy, Orogastric Lavage, Esophageal Balloon (Sengstaken-Blakemore) Tamponade, Paracentesis, Transabdominal Feeding Tubes, References.
Topics Discussed: gastrointestinal surgical procedures.
Excerpt:"Nasogastric (NG) aspiration is used to remove
liquid contents from the stomach and decompress the stomach and
small bowel. The need for NG aspiration often varies with the clinical
presentation (Table 89-1). Gastric decompression
is useful in small-bowel obstruction, although some studies have
shown that medical therapy with octreotide or somatostatin have
allowed safe treatment of bowel obstruction associated with malignancy.1,2 NG
aspiration and decompression is no longer considered routine for
the treatment of adynamic ileus.3,4 Removal
of liquid contents is useful in cases of GI bleeding, but not all
patients with GI bleeding require NG aspiration...."
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