ICU Chest Films > Lines and Tubes > Nasogastric and Feeding Tubes
Nasogastric and Feeding Tubes
Nasogastric tubes are inserted through the nares and into the stomach. They are used for gastric decompression or feeding. Generally a chest x-ray is not necessary following the placement of a nasogastric tube. Feeding tubes are generally placed into the proximal small bowel, as confirmed by an abdominal film. A chest x-ray may be obtained following the insertion of small-bore feeding tubes to rule out placement within the lung, which may have serious consequences. Also, patients who are status-post esophagectomy should receive a chest x-ray to evaluate the placement of any nasogastric tube.
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The nasogastric tube has traveled through the trachea into the right lower lobe bronchus. An attempt at infusing fluid through this tube could have serious consequences. Above is a high abdominal x-ray illustrating the proper placement.