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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Over-the-scope-clip system secured nasojejunal tube feeding in refractory hyperemesis gravidarum
  1. Jan Kubovy1,
  2. Agnieszka Them2,
  3. Rees Cameron1,
  4. Fali Langdana2
  1. 1Gastroenterology, Wellington Regional Hospital, Wellington, New Zealand
  2. 2Obstetrics and Gynaecology, Wellington Regional Hospital, Wellington, New Zealand
  1. Correspondence to Dr Agnieszka Them, aggiethem{at}gmail.com

Summary

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.

  • Endoscopy
  • Obstetrics And Gynaecology
  • Pregnancy
  • Drugs: Obstetrics And Gynaecology

https://doi.org/10.1136/bcr-2017-220917

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    Footnotes

    • Contributors KJ and AT are both first authors as they have contributed equally to analysing data and writing this case report. RC and KJ are the gastroenterologists who performed the procedure described in the case. FL and AT were the obstetricians and gynaecologists caring for the patient in this pregnancy but also in her past one. All authors have substantial contributions to the case in joint specialist conception and planning. They have approved the case report and are accountable for all aspects of it.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.