J Korean Dysphagia Soc.  2019 Jan;9(1):36-39. 10.0000/jkdps.2019.9.1.36.

Swallowed Oro-esophageal Tube: A Case Report

Affiliations
  • 1Department of Rehabilitation Medicine, Hangangsoo Medical Center, Seoul, Korea.
  • 2Department of Rehabilitation Medicine, Gachon University Gil Medical Center, Incheon, Korea.
  • 3Department of Rehabilitation Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea. pmrdoc@gilhospital.com

Abstract

Tube feeding is used to provide nutritional support to patients who have difficulty taking food orally. A nasogastric tube is commonly used for these patients but there are some complications. Therefore, the oro-esophageal tube feeding method was developed to avoid these disadvantages. A 33-year-old male with a history of right basal ganglia intracranial hemorrhage was admitted to the rehabilitation department for the treatment of dysphagia caused by a new onset left basal ganglia intracranial hemorrhage. After the videofluoroscopic swallowing study, the nasogastric tube feeding was changed to intermittent feeding via an oro-esophageal tube. Unfortunately, the patient swallowed the tube during insertion. Hence, an emergent endoscopy was performed for tube removal. This article reports a rare case of a patient who underwent oro-esophageal tube removal with an esophagogastroduodenoscopy after tube swallowing during insertion. The insertion of an oro-esophageal tube requires a careful approach after considering the cognitive function, muscle strength, and family education.

Keyword

Dysphagia; Nasogastric tube; Oro-esophageal tube; Esophagogastroduodenoscopy; Case report
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