A stubborn nasogastric tube: self-knotting of a nasogastric tube

Author:

Tsandiraki Justin1,Tendai Joylene1,Likiliwike Arnold D2,Moirana Ezekiel N3,Msuya David1,Tarmohamed Murad1ORCID

Affiliation:

1. Department of General Surgery , Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania

2. Department of Pediatrics and Child Health , Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania

3. Department of Internal Medicine , Gastroenterology and Hepatology Unit, Kilimanjaro Christian Medical Centre, Moshi, Kilimanjaro, Tanzania

Abstract

Abstract Nasogastric tubes (NGT) are widely used and generally harmless as such, complications are uncommon. NGT knotting is one such complication. We report a 45-month-old female with spontaneously knotted NGT that was identified and safely removed without complications. NGT knotting detection needs a high index of suspicion; if not detected and managed in a proper way, it may lead to severe complications. We discuss this case to raise awareness of this complication and how to minimize the likelihood of it happening and improve patient outcome.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference9 articles.

1. Fatal hydrothorax and empyema complicating a malpositioned nasogastric tube;Torrington;Chest,1981

2. Nasogastric tube self-knotting;Abbas;Ann Pediatr Surg,2016

3. Knotted nasogastric tube: a rare, overlooked yet preventable complication;Monib;J Surg Case Reports,2019

4. An unusual instance of stridor: airway obstruction from a nasogastric tube knot in a 1-month old infant;Chang;Am J Otolaryngol - Head Neck Med Surg,2014

5. Knotted nasoenteric feeding tube in an infant;Liu;J Neonatal Perinatal Med,2013

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