Nasogastric tube at gastro-oesophageal junction (teaching)
Nasogastric tube check. Unsafe swallow following neck surgery. No aspirate gained from tube.
Loading Stack -
0 images remaining
Nasogastric tube descends thorax in midline but tip (yellow) is not below the level of diaphragm (blue).
This NG tube is inappropriately sited.
It is at around the gastro-oesophageal junction, so needs to be advanced further below the diaphragm before being safe for feeding. If feeding is commenced, the patient will likely aspirate.
These can be tricky to see, so change windowing on your imaging system to review this area if you cannot see the tip below the diaphragm.
If the tube has been passing safely in the midline, the tube could be advanced a few centimetres, or alternatively taken out and replaced.
Case originally uploaded by Dr Derek Smith and is available here.