Nasogastric tube at gastro-oesophageal junction

Case contributed by Dr Derek Smith

Presentation

Nasogastric tube check. Unsafe swallow following neck dissection for ENT tumour. No aspirate gained.

Patient Data

Age: 80
Gender: Male
Modality: X-ray

Nasogastric tube descends thorax in midline but tip is just at level of diaphragm. Should be advanced further and checked again.

Surgical clips noted. Lung fields clear.

Case Discussion

This is a case where the NG tube is likely to be in the GI tract, but is not properly placed in the stomach.

If advanced slightly, the tip will be in the stomach and either aspirate will be gained, or can be checked again by x-ray.

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Case Information

rID: 35554
Case created: 10th Apr 2015
Last edited: 4th Oct 2015
Tag: ng
Inclusion in quiz mode: Included

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