Nasogastric tube at gastro-esophageal junction

Case contributed by Derek Smith


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

Patient Data

Age: 80
Gender: Male

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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