Misplaced and Knotted Nasogastric Tubes in Infants and Children: Report of Two Cases

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Authors: Mitchell Hughes, Kortney Holland, Joseph Drew Tobias
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Abstract

Nasogastric (NG) tubes are frequently placed during intraoperative care to decompress the gastrointestinal tract and prevent postoperative complications in patients with gastrointestinal obstruction or ileus. Although placement during anesthetic care is generally straightforward, misplacement or knotting of the NG tube may occur. We present two cases in pediatric-aged patients where difficulties were noted with passing and/or removal of the NG tube. Techniques for placement of NG tubes are reviewed, previous reports of misplacement or difficulties with placement presented, and strategies to prevent these complications discussed.

Fields of Study & Subjects

Airway Management and Intubation Techniques Clinical Nutrition and Gastroenterology Foreign Body Medical Cases

Publication details

Journal / source
Journal of Medical Cases
Volume
17
Issue
3
Pages
128–132
Publication date
3 February 2026
Language
EN