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

Swallowed Oro-esophageal Tube: A Case Report

• Kim HS
• Kim TH
• Lim OK
• Park KD
• Lee JK

• KMID: 2437957
• DOI: http://doi.org/10.0000/jkdps.2019.9.1.36

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

MeSH Terms

Adult
Basal Ganglia
Cognition
Deglutition
Deglutition Disorders
Education
Endoscopy
Endoscopy, Digestive System
Enteral Nutrition
Humans
Intracranial Hemorrhages
Male
Methods
Muscle Strength
Nutritional Support
Rehabilitation