{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T16:00:32Z","timestamp":1775577632385,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,13]],"date-time":"2016-05-13T00:00:00Z","timestamp":1463097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,5,13]],"date-time":"2016-05-13T00:00:00Z","timestamp":1463097600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:p>Several bedside approaches used in combination with thoracoabdominal X\u2010ray are widely used to avoid severe complications that have been reported during nasogastric tube management. Although confirmation by X\u2010ray is considered the gold standard, it is not yet perfect. We present 2 cases of rare complications in which the routine verification methods could not detect all the complications related to the nasogastric tube placement. Case 1 was a 17\u2010year\u2010old male who presented with a brain tumor and repeatedly required nasogastric tube placement. Despite normal auscultatory and X\u2010ray findings, the patient's condition deteriorated rapidly after resuming the enteral nutrition (EN). Computed tomography images showed the presence of hepatic portal venous gas (HPVG). Urgent upper gastrointestinal endoscopy showed esophagogastric submucosal tunneling of the tube that required an emergency open total gastrectomy. Case 2 was a 76\u2010year\u2010old man with long\u2010term EN after stroke. While the last auscultatory verification was normal, he suddenly developed extensive HPVG due to gastric mucosal injury following EN, which resulted in progressive intestinal necrosis, general peritonitis, and death. These 2 cases indicated that routine verification methods consisting of auscultation and X\u2010ray may not be completely reliable, and the awareness of the limitations of these methods should be reaffirmed because expeditious examinations and necessary interventions are critical in preventing life\u2010threatening complications.<\/jats:p>","DOI":"10.1177\/0884533616648324","type":"journal-article","created":{"date-parts":[[2016,5,14]],"date-time":"2016-05-14T01:25:37Z","timestamp":1463189137000},"page":"780-784","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Limitations of Routine Verification of Nasogastric Tube Insertion Using X\u2010Ray and Auscultation"],"prefix":"10.1002","volume":"31","author":[{"given":"Takahide","family":"Nejo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soichi","family":"Oya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuchiya","family":"Tsukasa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi","family":"Yamaguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Matsui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,13]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614531456"},{"key":"e_1_2_6_3_1","article-title":"Severe epistaxis after nasogastric tube insertion requiring arterial embolisation","author":"Paul V","journal-title":"BMJ Case Rep"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/011542650602100140"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2012549"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614531626"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001610-200411000-00002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2011.04.001"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-004-0463-5"},{"issue":"6","key":"e_1_2_6_10_1","first-page":"1170","article-title":"Intracranial complication during insertion of a nasogastric tube","volume":"11","author":"Glasser SA","year":"1990","journal-title":"AJNR Am J Neuroradiol"},{"issue":"2","key":"e_1_2_6_11_1","first-page":"147","article-title":"Unusual complication of nasogastric esophageal intubation\u2010erosion into an aberrant right subclavian artery","volume":"18","author":"Merchant FJ","year":"1977","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198511000-00027"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(84)90182-X"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2012.01.067"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607106030005440"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2011.06.001"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607108330314"},{"key":"e_1_2_6_18_1","unstructured":"American Association of Critical Care Nurses.Verification of feeding tube placement (blindly inserted). 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