IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Double-lumen nasogastric-jejunal tube

Case contributed by Stanton Royer
Diagnosis certain

Presentation

History of upper GI bleed and subsequent pyloroplasty.

Patient Data

Age: 55 years
Gender: Female

Abdominal XR AP reveals double-lumen feeding tube with gastric decompression side ports located in stomach and enteral feeding tip at level of ligament of Treitz. Other findings include embolization device overlying midline, percutaneous drain in RLQ and endoclip overlying the descending colon.

Case Discussion

Patients with pathologies requiring proximal GI rest such as acute pancreatitis and proximal bowel surgery may benefit from placement of a double-lumen feeding tubes. The first lumen ends in the stomach with several side ports and provides decompression of the gastric contents. The second lumen extends to the distal duodenum or proximal jejunum to provide enteral nutrition beyond the duodenum/ CBD so rest is given to the pancreas. 

Case made with the help of Dr. Jayanth Keshavamurthy, Medical College of Georgia, Augusta.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.