A Retrospective Study on 11 Cases of Nasogastric Tube Syndrome

Nasogastric tube syndrome (NGTS), first reported in 1990 by Sofferman, is characterized by the development of sore throat and bilateral vocal cord paralysis after insertion of a nasogastric tube. It can sometimes lead to life-threatening upper airway obstruction, necessitating tracheotomy. We reviewed the data of 11 cases of NGTS encountered at our department over the past 10 years and examined the risk factors and appropriate therapy. Being bedridden (p = 0.044) was identified as a possible risk factor. The data also suggested that immediate removal of the nasogastric tube and steroid administration could lead to improved vocal cord abduction. Since nasogastric tube insertion is a commonly needed procedure in daily clinical practice, especially as it serves as a useful alternative to oral feeding, and it can occasionally be complicated by life-threatening conditions such as NGTS, it is important for the treating physician to be aware of how to manage NGTS in a timely manner.