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Article

Case Report

J Korean Dysphagia Soc 2020; 10(2): 179-181

Published online July 30, 2020 https://doi.org/10.34160/jkds.2020.10.2.006

Copyright © The Korean Dysphagia Society.

Self-Knotting of Nasogastric Tube in a Stroke Patient with Dysphagia: A Case Report

Inhyun Kang, M.D., Minjoon Bae, M.D., Yangrok Hur, M.D., Kihun Hwang, M.D.

Department of Physical Medicine and Rehabilitation, Dong Eui Hospital, Busan, Korea

Correspondence to:Kihun Hwang, Department of Physical Medicine and Rehabilitation, Dong-Eui Hospital, 62 Yangjeong-ro, Busanjin-gu, Busan
47227, Korea
Tel: +82-51-850-8740, Fax: +82-51-867-5162
E-mail: drsheva01@gmail.com

Received: March 23, 2020; Revised: March 25, 2020; Accepted: May 7, 2020

Abstract

In cases of inadequate nutrition among individuals with dysphagia, nasogastric tube insertion is considered for nutritional supplementation. Typically, the complications of nasogastric tube insertion are not severe. In rare cases, however, nasal or nasopharyngeal injury caused by the self-knotting of nasogastric tubes can occur. This paper presents a case of spontaneous knotting of a nasogastric tube and its removal in a patient with aspiration pneumonia caused by dysphagia. This case shows that self-knotting must be considered when there is strong resistance during the removal of a nasogastric tube.

Keywords: Enteral nutrition, Nasopharynx, Dysphagia

Article

Case Report

J Korean Dysphagia Soc 2020; 10(2): 179-181

Published online July 30, 2020 https://doi.org/10.34160/jkds.2020.10.2.006

Copyright © The Korean Dysphagia Society.

Self-Knotting of Nasogastric Tube in a Stroke Patient with Dysphagia: A Case Report

Inhyun Kang, M.D., Minjoon Bae, M.D., Yangrok Hur, M.D., Kihun Hwang, M.D.

Department of Physical Medicine and Rehabilitation, Dong Eui Hospital, Busan, Korea

Correspondence to:Kihun Hwang, Department of Physical Medicine and Rehabilitation, Dong-Eui Hospital, 62 Yangjeong-ro, Busanjin-gu, Busan
47227, Korea
Tel: +82-51-850-8740, Fax: +82-51-867-5162
E-mail: drsheva01@gmail.com

Received: March 23, 2020; Revised: March 25, 2020; Accepted: May 7, 2020

Abstract

In cases of inadequate nutrition among individuals with dysphagia, nasogastric tube insertion is considered for nutritional supplementation. Typically, the complications of nasogastric tube insertion are not severe. In rare cases, however, nasal or nasopharyngeal injury caused by the self-knotting of nasogastric tubes can occur. This paper presents a case of spontaneous knotting of a nasogastric tube and its removal in a patient with aspiration pneumonia caused by dysphagia. This case shows that self-knotting must be considered when there is strong resistance during the removal of a nasogastric tube.

Keywords: Enteral nutrition, Nasopharynx, Dysphagia

Fig 1.

Journal of the Korean Dysphagia Society 2020; 10: 179-181https://doi.org/10.34160/jkds.2020.10.2.006

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