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Intubation of the Digestive Tract

(Nasogastric Tube)

By

Jonathan Gotfried

, MD, Lewis Katz School of Medicine at Temple University

Last full review/revision Apr 2021| Content last modified Apr 2021
CLICK HERE FOR THE PROFESSONAL VERSION
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Intubation of the digestive tract is the process of passing a small, flexible plastic tube (nasogastric tube) through the nose or mouth into the stomach or small intestine. This procedure may be used for diagnostic or treatment purposes. Intubation typically causes gagging and nausea, so a numbing agent may be sprayed in the nose and back of the throat. The tube size varies according to the purpose.

Nasogastric intubation can be used to obtain a sample of stomach fluid. The tube is passed through the nose rather than through the mouth, primarily because the tube can be more easily guided to the esophagus (the hollow tube that leads from the throat to the stomach). Also, passage of a tube through the nose is less irritating and less likely to trigger coughing. Doctors can determine whether the stomach contains blood, or they can analyze the stomach’s secretions for acidity, enzymes, and other characteristics.

Nasogastric intubation may also be used to treat certain conditions. For example, poisons can be pumped out or neutralized with activated charcoal, or liquid food can be given to people who cannot swallow.

Sometimes nasogastric intubation is used to continuously remove the contents of the stomach. The end of the tube is usually attached to a suction device, which removes gas and fluid from the stomach. This helps relieve pressure when the digestive system is blocked or otherwise not functioning properly. This type of tube is often used after abdominal surgery until the digestive system can resume its normal function.

In nasoenteric intubation, a longer tube is passed through the nose, through the stomach, and into the small intestine. This procedure can be used to remove a sample of intestinal contents, continuously remove fluids, or provide food (see Tube feeding Tube feeding Undernutrition is a deficiency of calories or of one or more essential nutrients. Undernutrition may develop because people cannot obtain or prepare food, have a disorder that makes eating or... read more Tube feeding ).

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Indigestion (Dyspepsia)
Indigestion (dyspepsia) is a feeling of pain or discomfort in the upper abdomen. Symptoms are usually vague and mild. Many people experience occasional dyspepsia that does not usually require medical attention. Sometimes, however, a single, sudden episode of dyspepsia may be a sign of a serious medical condition. Which of the following may cause symptoms of dyspepsia but is a true medical emergency?
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