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Nasogastric intubation is a medical process involving the insertion of a plastic tube (nasogastric tube or NG tube) through the nose, down the esophagus, and down into the stomach. Orogastric intubation is a similar process involving the insertion of a plastic tube (orogastric tube) through the mouth. [1] Abraham Louis Levin invented the NG tube.
Gastric lavage, also commonly called stomach pumping or gastric irrigation, is the process of cleaning out the contents of the stomach using a tube. Since its first recorded use in the early 19th century, it has become one of the most routine means of eliminating poisons from the stomach. [1]
NG-tubes can have complications, particularly related to accidental removal of the tube and nasal irritation. [21] More specifically, when nasogastric or nasoenteric tubes are placed incorrectly, they can damage patients' vocal cords , lungs , or trachea , resulting in serious injuries or even death.
A man with a nasogastric tube allowing food and medicine to be delivered through the nose and straight to the stomach. Enteral administration may be divided into three different categories, depending on the entrance point into the GI tract: oral (by mouth), gastric (through the stomach), and rectal (from the rectum).
For example, nasogastric (NG) tubes inserted through the nose and into the stomach can help remove stomach contents for patients who have a blockage further along in their gastrointestinal tract. After surgery, drains can be placed to remove blood, lymph, or other fluids that accumulate in the wound bed.
Three of the most common post-operative complications are delayed gastric emptying, bile leak, and pancreatic leak. Delayed gastric emptying, normally defined as an inability to tolerate a regular diet by the end of the first post-op week and the requirement for nasogastric tube placement, occurs in approximately 17% of operations.
Apart from the balloons, the tube has an opening at the bottom (gastric tip) of the device. More modern models also have an opening near the upper esophagus; such devices are properly termed Minnesota tubes. [3] [4] The tube is passed down into the esophagus and the gastric balloon is inflated inside the stomach. A traction of 1 kg is applied ...
Treatment includes bowel rest, orogastric tube, intravenous fluids, and intravenous antibiotics. [2] Surgery is required in those who have free air in the abdomen. [2] A number of other supportive measures may also be required. [2] Complications may include short-gut syndrome, intestinal strictures, or developmental delay. [2]