Updates to Article Attributes
Body
was changed:
Assessment of nasogastric (NG) tube positioning is a key competency of all doctors as unidentified malpositioning may have dire consequences, including death.
The ideal position should be in the sub-diaphragmatic position in the stomach - identified on a plain chest radiograph as overlying the gastric bubble. Ideally it should be at least 10 cm beyond the gastro-oesophageal junction 1.
Malpositioning may include tip position:
- remaining in the oesophagus
-
downtraversing either bronchus or more distally into the lung - coiled in the upper airway
In some circumstances fluroscopicfluoroscopic nasojejunal tube insertion is necessary.
-<li>down either bronchus or more distally into the lung</li>- +<li>traversing either bronchus or more distally into the lung</li>
-</ul><p>In some circumstances <a href="/articles/fluoroscopic-nasojejunal-tube-insertion">fluroscopic nasojejunal tube insertion</a> is necessary.</p>- +</ul><p>In some circumstances <a href="/articles/fluoroscopic-nasojejunal-tube-insertion">fluoroscopic nasojejunal tube insertion</a> is necessary.</p>
ADVERTISEMENT: Supporters see fewer/no ads
{"current_user":null,"inclusions":[{"imageId":7107290,"studyId":29796,"caseSlug":"normal-nasogastric-tube-position","caption":"Case 1: appropriate position","thumbnail":"https://prod-images-static.radiopaedia.org/images/7107290/47372dc79ec0b6d24232c0c97d7eae_big_gallery.jpg","isStack":false,"diagnosticCertainty":"not_applicable"},{"imageId":8252025,"studyId":31664,"caseSlug":"misplaced-nasogastric-tube-1","caption":"Case 2: coiled in upper airway","thumbnail":"https://prod-images-static.radiopaedia.org/images/8252025/f166b5054b3b8648a77183c9276b01_big_gallery.JPG","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":7472360,"studyId":30425,"caseSlug":"malpositioned-nasogastric-tube-in-the-distal-oesophagus","caption":"Case 3: in distal esophagus","thumbnail":"https://prod-images-static.radiopaedia.org/images/7472360/64ed7dba5f9314841a377b66cc09b8_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":7069706,"studyId":29734,"caseSlug":"malpositioned-nasogastric-tube-in-the-right-main-bronchus-1","caption":"Case 4: in right lower lobe","thumbnail":"https://prod-images-static.radiopaedia.org/images/7069706/20539aa36b145f9b805bcef5f33612_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":1222361,"studyId":14228,"caseSlug":"nasogastric-tube-in-nose","caption":"Case 5: coiled in nose","thumbnail":"https://prod-images-static.radiopaedia.org/images/1222361/13818eafb6e7ecf4bdd0e72336bf00_big_gallery.JPG","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":574029,"studyId":12022,"caseSlug":"nasogastric-tube","caption":"Case 6: appropriate NGT position","thumbnail":"https://prod-images-static.radiopaedia.org/images/574029/12b35952a5cd335065f0b44b6c4e6a_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":9209109,"studyId":33306,"caseSlug":"nasogastric-tube-in-bronchus-2","caption":"Case 7: down both bronchi","thumbnail":"https://prod-images-static.radiopaedia.org/images/9209109/8ee86dd503b726551dc0fb9b51bf699bcebfc1466cb1178f5dce8054473987c8_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":12022941,"studyId":36992,"caseSlug":"misplaced-nasogastric-tube-2","caption":"Case 8: in right lower lobe","thumbnail":"https://prod-images-static.radiopaedia.org/images/12022941/01ae41b9674733e417c0a583a4b36c29598d63306601bf425d1c941c08e74351_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":15722252,"studyId":41812,"caseSlug":"nasogastric-tube-in-right-lower-lobe","caption":"Case 9: in right lower lobe","thumbnail":"https://prod-images-static.radiopaedia.org/images/15722252/ea322d385850d2537c7b9b1db24e19_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":15722260,"studyId":41813,"caseSlug":"nasogastric-tube-in-left-lower-lobe-with-pneumothorax","caption":"Case 10: in left lower lobe with pneumothorax","thumbnail":"https://prod-images-static.radiopaedia.org/images/15722260/3f5df5c0b56901bf06d676ca84ca4f_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":58998616,"studyId":123462,"caseSlug":"misplaced-nasogastric-tube-right-main-bronchus","caption":"Case 11: in right bronchus","thumbnail":"https://prod-images-static.radiopaedia.org/images/58998616/a634f5e882fbcd3c4bcbf9f3d590e3fb4e7cffc2238330238eb655927249ada8_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":20165317,"studyId":46871,"caseSlug":"iatrogenic-bronchopleural-fistula-from-a-dobhoff-tube-1","caption":"Case 12: iatrogenic bronchopleural fistula from a Dobhoff tube","thumbnail":"https://prod-images-static.radiopaedia.org/images/20165317/d58ade409b02ba76d2871a7a8e8002362f4dae1cc2d049a42e44d7ba6dc332ea_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":25108316,"studyId":52836,"caseSlug":"pneumothorax-post-malposition-of-nasogastric-tube","caption":"Case 13: in right lung with pneumothorax","thumbnail":"https://prod-images-static.radiopaedia.org/images/25108316/ee495b80de42c7a48603e552d9da4dbe37b78a6b1c451ab9131489f33b6bfe5a_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":27406562,"studyId":55704,"caseSlug":"misplaced-nasogastric-tube-3","caption":"Case 14: in left lower lobe","thumbnail":"https://prod-images-static.radiopaedia.org/images/27406562/dd3952fdf7d9922e4afb13f78f5c226410397663764107cfcb969ed3ca16fef3_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":13087721,"studyId":38861,"caseSlug":"malpositioned-nasogastric-tube-3","caption":"Case 15: in distal esophagus ","thumbnail":"https://prod-images-static.radiopaedia.org/images/13087721/fb1fab5507b15fd9aa79559d6ea04e88d78478be96b4fbfd046192e5f227c427_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":51743680,"studyId":82828,"caseSlug":"nasogastric-tube-in-a-gastric-pull-up","caption":"Case 16: in a gastric pull-up","thumbnail":"https://prod-images-static.radiopaedia.org/images/51743680/17211af797c9171fdabd586b535df4_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":52265192,"studyId":86678,"caseSlug":"nasogastric-tube-in-bronchi","caption":"Case 17: in both bronchi","thumbnail":"https://prod-images-static.radiopaedia.org/images/52265192/b82ffe92960bd36331b983b5ec1b2760bf53d0d9da1be4287818ad9ac9bcd778_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":52759355,"studyId":90864,"caseSlug":"flipping-nasogastric-tube","caption":"Case 18: kinked in stomach","thumbnail":"https://prod-images-static.radiopaedia.org/images/52759355/e5bcaad0fc774c15c70a18b3d2909d_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":52866328,"studyId":91465,"caseSlug":"malpositioned-nasogastric-tube-6","caption":"Case 19: in right lower lobe","thumbnail":"https://prod-images-static.radiopaedia.org/images/52866328/fd466be78073ab0ded18c4a1b58eff4b2c8cbef0d8ffda2d22ac75664f2511c9_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":53185421,"studyId":93842,"caseSlug":"misplaced-nasogastric-tube-into-the-left-lung","caption":"Case 20: in left lung","thumbnail":"https://prod-images-static.radiopaedia.org/images/53185421/a3f21795c3921d9dc4dd088e0c53fc_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":53805048,"studyId":99056,"caseSlug":"gallstone-ileus-45","caption":"Case 21: in duodenum","thumbnail":"https://prod-images-static.radiopaedia.org/images/53805048/35_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":58346383,"studyId":120650,"caseSlug":"small-bowel-obstruction-and-choledocholithiasis","caption":"Case 22: appropriate NGT position (MRI)","thumbnail":"https://prod-images-static.radiopaedia.org/images/58346383/1a3c669b0f23da462d4dc852b536e1ae69c6605ed07b83d69bfded7f58ad3b03_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":63473038,"studyId":141476,"caseSlug":"malpositioned-nasogastric-tube-11","caption":"Case 23: within the right main bronchus","thumbnail":"https://prod-images-static.radiopaedia.org/images/63473038/0551f231d5b98e4712bffc76a6817b5f5bb8fe66344a79e3179b0c800528f902_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":65351915,"studyId":148401,"caseSlug":"misplaced-nasogastric-tube-9","caption":"Case 24: in esophagus","thumbnail":"https://prod-images-static.radiopaedia.org/images/65351915/cae84c71d4904cdfd40a37402fd6ad0b7e97bb6b3898212a8d7f51b150c11eaa_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"}],"ddx_inclusions":[{"imageId":33283941,"studyId":62778,"caseSlug":"double-lumen-nasogastric-jejunal-tube-2","caption":"Double-lumen nasogastric-jejunal tube","thumbnail":"https://prod-images-static.radiopaedia.org/images/33283941/67ef06a69c5bf85bb281d97f9a4f23_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":33282444,"studyId":62769,"caseSlug":"minnesota-tube-1","caption":"Minnesota tube","thumbnail":"https://prod-images-static.radiopaedia.org/images/33282444/96074dca0147991d2cda2c369293a9_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"}],"lang":"us"}
Unable to process the form. Check for errors and try again.