A case of accidental bronchial perforation by the metal stylet of a silastic feeding tube is reported. The misplacement of the feeding tube resulted in a pneumothorax. This is a previously unreported complication of enteral feeding in adults. Pulmonary complications of enteral feeding and recommendations for prevention of these complications are discussed. (Journal of Parenteral and Enteral Nutrition 8 :714-716, 1984)
Heymsfield SB , Bethel RA, Ansley JD, et al: Enteral alimentation: an alternative to central venous hyperalimentation. Ann Intern Med90:63-71, 1979
5.
Gustke RF, Varma RR, Soergel KH: Gastric reflux during perfusion of the proximal small bowel. Gastroenterology59:890-894, 1970
6.
Orr G., Wade J., Bothe A. Jr, et al: Alternatives to total parenteral nutrition in the critically ill patient. Crit Care Med8:29-33, 1980
7.
Kassner GE, Baumstark A., Balsam D., et al: Passage of feeding catheters into the pleural space: a radiographic sign of trauma to the pharynx and esophagus in the newborn. AJR128:19-22, 1977
8.
James RH: An unusual complication of passing a narrow-bore nasogastric tube . Anaesthesia33:716-718, 1978
9.
Muthuswamy PPPatel K., Rajendran R.: "Isocal pneumonia" with respiratory failure . Chest81:390, 1982