Journal Article Nasogastric tube syndrome induced by an indwelling long intestinal tube

Sano, Naoki  ,  Yamamoto, Masayoshi  ,  Nagai, Kentaro  ,  Yamada, Keiichi  ,  Ohkohchi, Nobuhiro

22 ( 15 )  , pp.4057 - 4061 , 2016-04 , Baishideng Publishing Group Inc.
ISSN:1007-9327
NCID:AA11690631
Description
The nasogastric tube (NGT) has become a frequently used device to alleviate gastrointestinal symptoms. Nasogastric tube syndrome (NTS) is an uncommon but potentially life-threatening complication of an indwelling NGT. NTS is characterized by acute upper airway obstruction due to bilateral vocal cord paralysis. We report a case of a 76-year-old man with NTS, induced by an indwelling long intestinal tube. He was admitted to our hospital for treatment of sigmoid colon cancer. He underwent sigmoidectomy to release a bowel obstruction, and had a long intestinal tube inserted to decompress the intestinal tract. He presented acute dyspnea following prolonged intestinal intubation, and bronchoscopy showed bilateral vocal cord paralysis. The NGT was removed immediately, and tracheotomy was performed. The patient was finally discharged in a fully recovered state. NTS be considered in patients complaining of acute upper airway obstruction, not only with a NGT inserted but also with a long intestinal tube.
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