A rare but serious entity: nasogastric tube syndrome.
Since its first description by Hunter in 1790, the nasogastric tube has become a frequently used method of alleviating gastrointestinal symptoms. Because the morbidity associated with its use is low the risks of complications are often underestimated. We present a case of bilateral vocal cord paralysis and supraglottic edema following nasogastric tube insertion-also known as Nasogastric Tube Syndrome (NGTS). Although this complication is rare, it can be life threatening. We discuss this phenomenon in the context of a meta-analysis of reported cases, notably: presenting symptoms, time at development and resolution of symptoms in relation to nasogastric intubation and propose treatment options.
Brousseau
Valérie Julie
VJ
Department of Otolaryngology-Head and Neck Surgery, McGill University Health Centre, Montréal, Québec, Canada. vajulie@sympatico.ca
Kost
Karen M
KM
D005260:Female; D005931:Glottis; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D007819:Laryngeal Edema / Q000209:etiology*; D008297:Male; D015201:Meta-Analysis as Topic; D013577:Syndrome; D014826:Vocal Cord Paralysis / Q000209:etiology*