Evidence map›Paper›PMID 40027054›Full record

ArticleCureus2025

Nasogastric Tube Syndrome Treated by Replacement With a Smaller-Diameter Tube: A Case Report.

Kazuya Hara, Takashi Shigematsu, Hiroki Ikeda, Ken Iwanaga, Ichiro Fujishima

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kazuya HaraDepartment of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, JPN.
Takashi ShigematsuDepartment of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, JPN.
Hiroki IkedaDepartment of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, JPN.
Ken IwanagaDepartment of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JPN.
Ichiro FujishimaDepartment of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nasogastric tube syndrome (NGTS) is a severe and potentially life-threatening complication of the nasogastric tube. NGTS is characterized by throat pain and abductor dysfunction of vocal cords due to the presence of the NGT. NGTS sometimes progresses to acute upper airway obstruction caused by vocal cord paralysis or laryngeal infection. Early recognition and appropriate management are essential to prevent serious outcomes. Removing the nasogastric tube is generally recommended for treatment. Here, we present a case of NGTS, wherein the symptoms were improved by replacing the nasogastric tube with a smaller-diameter tube rather than removing it entirely. A 53-year-old woman suffering from left lateral medullary syndrome with a tracheostomy was admitted for dysphagia rehabilitation. She developed NGTS because of the presence of a 12-Fr nasogastric tube. Videoendoscopic evaluation of swallowing revealed right vocal cord abduction paralysis and bilateral arytenoid edema. Her oral intake was restricted because of lateral medullary syndrome and NGTS. As she was not at risk for upper airway obstruction from NGTS because of the tracheostomy, we replaced the nasogastric tube with a smaller-diameter (8-Fr) tube, resulting in an improvement in her dysphagia and NGTS. Considering that NGTS can make dysphagia worse, replacing a nasogastric tube with a smaller-diameter (8-Fr) tube may be an effective treatment for NGTS. Although this approach may extend the overall treatment duration, it offers a feasible option for patients requiring continued nasogastric tube feeding without removing the tube.

Indexed as

lateral medullary syndrome (wallenberg syndrome)nasogastric tube syndromepost-stroke dysphagiapost-tracheostomysmaller-diameter tube

Identifiers

PMID40027054
PMCPMC11870668

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