{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T02:39:59Z","timestamp":1764470399734,"version":"build-2065373602"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T00:00:00Z","timestamp":1591574400000},"content-version":"vor","delay-in-days":159,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>We report the case of a patient who had a nasogastric tube inserted following cardiac surgery that was determined to be appropriately sited on chest X\u2010ray. Following initiation of nasogastric feeding, however, the patient became acutely unwell. Subsequent computed tomography imaging demonstrated that the nasogastric tube had perforated through the posterior nasopharynx and passed through the mediastinum into the abdominal cavity. A laparotomy and washout was required, and following a prolonged intensive care stay with multiple further interventions, the patient ultimately survived to discharge. Pharyngeal wall perforation is a rare but serious complication of attempted nasogastric tube insertion. Risk factors include the need for repeated attempts and patients with an altered mental state. The appropriate steps in confirming the position of nasogastric tubes both clinically and radiologically are reviewed in the context of this rare and serious complication.<\/jats:p>","DOI":"10.1002\/anr3.12044","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T21:29:41Z","timestamp":1591651781000},"page":"52-55","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Intra\u2010abdominal nasogastric tube placement following inadvertent nasopharyngeal perforation"],"prefix":"10.1002","volume":"8","author":[{"given":"C. J.","family":"Walmsley","sequence":"first","affiliation":[{"name":"Worcester Royal Hospital Worcester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. J.","family":"Comben","sequence":"additional","affiliation":[{"name":"New Cross Hospital Wolverhampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,8]]},"reference":[{"volume-title":"Patient Safety Alert NPSA\/2011\/PSA002: reducing the harm caused by misplaced nasogastric tubes in adults, children and infants","year":"2011","author":"National Patient Safety Agency","key":"e_1_2_5_2_1"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2015.06.001"},{"key":"e_1_2_5_4_1","first-page":"107","article-title":"Iatrogenic pharyngeoesophageal perforation in the neonatal period \u2013 clues for conservative treatment","volume":"3","author":"Brankov O","year":"2017","journal-title":"International Journal of Surgery and Medicine"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90068-7"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1998.tb04687.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/145749691210100302"},{"key":"e_1_2_5_8_1","first-page":"1","article-title":"A case of fatal internal jugular vein perforation during nasogastric tube insertion","volume":"7","author":"Smith K","year":"2017","journal-title":"Journal of Surgical Case Reports"},{"key":"e_1_2_5_9_1","unstructured":"NHS Improvement.Initial placement checks for nasogastric and orogastric tubes.2016.https:\/\/improvement.nhs.uk\/documents\/193\/Resource_set_\u2010_Initial_placement_checks_for_NG_tubes_1.pdf(accessed 21\/03\/2020)."},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12574-014-0213-5"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12044","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12044","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T11:37:59Z","timestamp":1759923479000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1002\/anr3.12044"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12044","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2020-05-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}