Nasogastric tube at gastro-oesophageal junction (teaching)

Case contributed by UoE Radiology


Nasogastric tube check. Unsafe swallow following neck surgery. No aspirate gained from tube.

Patient Data

Gender: Male

Nasogastric tube descends thorax in midline but tip (yellow) is not below the level of diaphragm (blue).

Case Discussion

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.

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Case information

rID: 39479
Case created: 6th Sep 2015
Last edited: 7th Sep 2015
Inclusion in quiz mode: Excluded

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