A Case Report of Esophageal Perforation: Complications of Orogastric Tube Placement

Abstract

Orogastric tube (OGT) insertion is a routine procedure in medical care. It is often inserted in patients after endotracheal intubation. OGT insertion is often a blind procedure. Misplacement of the tube can cause a variety of complications and can sometimes be life-threatening. We present the case of a 71-year-old male patient who experienced a rare proximal esophageal perforation as a complication of blind insertion of the OGT; he required OGT insertion after receiving endotracheal intubation for hypoxic respiratory failure secondary to COVID-19 infection. The esophageal perforation was revealed on a post-procedural roentgenogram and confirmed by a subsequent computed tomography of the chest. Given the small size of the perforation and the absence of clinical instability, conservative management was pursued leading to improvement of the mediastinitis. Although the complications of OGT insertion are uncommon, their consequences can be potentially serious and require a high degree of suspicion.

Response of spring rice (Oryza sativa L.) varieties to different nitrogen application methods at Nawalparasi West, Nepal

“…Spring rice varieties, known for their short growth cycle, resilience to pests and diseases, and potential for high yields, are especially promising. Planting spring rice during areas' abundant irrigation capacity helps suppress weed growth, and the increased sunlight during the spring contributes to higher yields (Subedi et al, 2018). Particularly, in regions like Nawalparasi West, Nepal, where rice cultivation thrives with suitable agro-climatic conditions and fertile soil, exploring novel approaches for optimizing nitrogen management becomes imperative.…”