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Updated: Jul 19, 2026

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
Published on: August 2, 2024
A rare but serious entity: nasogastric tube syndrome
Valérie Julie Brousseau1, Karen M Kost
1Department of Otolaryngology-Head and Neck Surgery, McGill University Health Centre, Montréal, Québec, Canada. vajulie@sympatico.ca
Abstract:
Since its first description by Hunter in 1790, the nasogastric tube has become a frequently used method of alleviating gastrointestinal symptoms. Because the morbidity associated with its use is low the risks of complications are often underestimated. We present a case of bilateral vocal cord paralysis and supraglottic edema following nasogastric tube insertion-also known as Nasogastric Tube Syndrome (NGTS). Although this complication is rare, it can be life threatening. We discuss this phenomenon in the context of a meta-analysis of reported cases, notably: presenting symptoms, time at development and resolution of symptoms in relation to nasogastric intubation and propose treatment options.
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