{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:00:43Z","timestamp":1772967643225,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Enteral nutrition is the preferred route of feeding in critically ill patients. It has multiple advantages over parenteral nutrition and potentially improves patients\u2019 outcome. Enteral nutrition is delivered via gastric or postpyloric (small intestine) feeding tubes. The latter option used to be a more challenging choice to achieve unless the feeding tube is placed endoscopically or by interventional radiology. Multiple technical advances have facilitated postpyloric feeding, including a new electromagnetically visualised jejunal feeding tube system (CORTRAK Enteral Access System). We are presenting a case of a 50-year-old woman who suffered a nasopharyngeal perforation caused by this novel technology. The complication was recognised promptly and managed successfully with conservative measures. This case illustrates the importance of recognising patients at high risk for feeding tube placement complications, meticulous placement technique and appropriate follow-up once the tube has been inserted.<\/jats:p>","DOI":"10.1136\/bcr-2013-009807","type":"journal-article","created":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T05:54:51Z","timestamp":1369374891000},"page":"bcr2013009807","source":"Crossref","is-referenced-by-count":4,"title":["Nasopharyngeal perforation by a new electromagnetically visualised enteral feeding tube"],"prefix":"10.1136","volume":"2013","author":[{"given":"Faisal A","family":"Khasawneh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed G","family":"Al-Janabi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad H","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,5,23]]},"reference":[{"key":"2025042708024336000_2013.may23_1.bcr2013009807.1","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1177\/0148607109335234","article-title":"Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)","volume":"2013","author":"McClave","year":"2009","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.2","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/CCM.0b013e3181fb7b5f","article-title":"Jejunal tube placement in critically ill patients: a prospective, randomized trial comparing the endoscopic technique with the electromagnetically visualized method","volume":"2013","author":"Holzinger","year":"2011","journal-title":"Crit Care Med"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.3","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1378\/chest.88.2.230","article-title":"Pleuropulmonary complications of enteral tube feedings. Two reports, review of the literature, and recommendations","volume":"2013","author":"Miller","year":"1985","journal-title":"Chest"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.4","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1177\/0148607104028002119","article-title":"Placement of nasoenteral feeding tubes using external magnetic guidance","volume":"2013","author":"Gabriel","year":"2004","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.5","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1080\/07315724.2000.10718945","article-title":"Placement of nasoenteral feeding tubes using magnetic guidance: retesting a new technique","volume":"2013","author":"Ozdemir","year":"2000","journal-title":"J Am Coll Nutr"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3233\/THC-120704","article-title":"The use of bedside electromagnetically guided nasointestinal tube for jejunal feeding of critical ill surgical patients","volume":"2013","author":"Kaffarnik","year":"2013","journal-title":"Technol Health Care"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.7","first-page":"229","article-title":"An unusual complication of naso-enteral feeding with small-diameter feeding tubes","volume":"2013","author":"Dorsey","year":"1984","journal-title":"Ann Surg"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.8","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1111\/j.1365-2044.1978.tb08467.x","article-title":"An unusual complication of passing a narrow bore nasogastric tube","volume":"2013","author":"James","year":"1978","journal-title":"Anaesthesia"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.9","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.2214\/ajr.141.6.1275","article-title":"Pneumothorax as a complication of feeding tube placement","volume":"2013","author":"Balogh","year":"1983","journal-title":"AJR Am J Roentgenol"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.10","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1097\/MOG.0b013e3280287a0f","article-title":"Complications related to feeding tube placement","volume":"2013","author":"Metheny","year":"2007","journal-title":"Curr Opin Gastroenterol"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.11","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1007\/s00134-006-0128-3","article-title":"A comparison of early gastric and post-pyloric feeding in critically ill patients: a meta-analysis","volume":"2013","author":"Ho","year":"2006","journal-title":"Intensive Care Med"},{"key":"2025042708024336000_2013.may23_1.bcr2013009807.12","doi-asserted-by":"crossref","first-page":"R187","DOI":"10.1186\/cc8181","article-title":"A randomised controlled comparison of early post-pyloric versus early gastric feeding to meet nutritional targets in ventilated intensive care patients","volume":"2013","author":"White","year":"2009","journal-title":"Crit Care"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009807","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T15:02:50Z","timestamp":1745766170000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009807"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,23]]},"references-count":12,"alternative-id":["10.1136\/bcr-2013-009807"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009807","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,23]]}}}