title: Nasogastric tube insertion in difficult cases with the aid of a flexible nasendoscope.
abstract: OBJECTIVE
  Nasogastric tube insertion is often difficult, due to a variety of reasons, e.g. skewed laryngeal anatomy. We present a previously unreported method of facilitating nasogastric tube insertion, using a flexible nasendoscope.
  
  
  METHODS
  The nasogastric tube is anchored to a flexible nasendoscope using sodium alginate dressing ties. The nasendoscope is then passed into the upper oesophagus, along with the nasogastric tube. Once the nasogastric tube has passed the cricopharyngeus, gentle traction on the nasendoscope releases it from the nasogastric tube. The nasendoscope can then be withdrawn. A previous safety study of sodium alginate ingestion showed no adverse effects.
  
  
  CONCLUSIONS
  This method enables nasogastric tube insertion under direct vision, and allows the tube to be guided past the larynx and into the upper oesophagus.
authors: Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK. jonnydk@aol.com
authors: J
authors: J
authors: Der Kureghian
authors: S
authors: S
authors: Kumar
authors: P
authors: P
authors: Jani
mesh_terms: D000464:Alginates; D020776:Endoscopes, Gastrointestinal; D004750:Enteral Nutrition; D020723:Glucuronic Acid; D006603:Hexuronic Acids; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation / Q000379:methods*; D007830:Larynx; D009305:Nasopharynx
chemical_list: D000464:Alginates; D006603:Hexuronic Acids; D020723:Glucuronic Acid