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Nasogastric tube syndrome is a rare but serious and potentially life-threatening complication of nasogastric intubation. It should be considered in all patients who present with pain, hoarseness, or shortness of breath after nasogastric intubation or extubation. It requires prompt treatment and close follow-up.
Nasogastric and nasoenteric tubes are flexible double or single lumen tubes that are passed proximally from the nose distally into the stomach or small bowel. Enteric tubes that will be removed within a short period of time can also be passed through the mouth (orogastric). This topic will review the indications, contraindications, placement, management and complications of nasogastric and nasoenteric tubes. The management of postoperative ileus and bowel obstruction are discussed elsewhere.