African Journal of Paediatric Surgery About APSON | PAPSA  
Home About us Editorial Board Current issue Search Archives Ahead Of Print Subscribe Instructions Submission Contact Login 
Users Online: 9173Print this page  Email this page Bookmark this page Small font size Default font size Increase font size 
Year : 2014  |  Volume : 11  |  Issue : 3  |  Page : 273-275

Knotting of a nasogastric feeding tube in a child with head injury: A case report and review of literature

1 Regional Centre for Neurosurgery, Usmanu Danfodiyo University Teaching Hospital, P.M.B. 2370 Sokoto, Nigeria
2 Paediatric Surgery Unit, Department of Surgery, Jos University Teaching Hospital, P.M.B. 2076 Jos, Plateau State, Nigeria

Correspondence Address:
Dr. Nasiru J Ismail
Regional centre for Neurosurgery, Usmanu Danfodiyo University Teaching Hospital, P.M. B. 2370 Sokoto
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-6725.137343

Rights and Permissions

Nasogastric intubation is one of the most common routine nonoperative procedures available for the hospital care of patients. The insertion and removal of this tube is associated with many complications. The complications include trauma, nasal septal abscess and inadvertent entry into the cranial cavity and trachea, ulceration, bleeding from varices and perforation. Knotting of the nasogastric tube is one of the very rare complications of nasogastric intubation particularly in children. To the best of our knowledge there are very few reported cases in children. The technique used in the patient was the application of a steady tug which allows the lower oesophageal sphincter to open, therefore enabling the removal of the nasogastric tube. The possible predispositions to knotting of a nasogastric tube include small bore tubes, excess tube length and gastric surgery. We postulate that reduced gastric tone is another possible predisposing factor with head injury being the most likely reason in the index patient. We also challenge the fact that the small sized stomach is a risk factor for knotting of a feeding tube if the functional status and tone are normal, because of the rarity in children.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded179    
    Comments [Add]    

Recommend this journal