Images in Clinical Medicine
Complication of Cantor-Tube Insertion
N Engl J Med 2001; 344:974March 29, 2001
- Article
Figure 1 A 61-year-old man with metastatic colon carcinoma was hospitalized with small-bowel obstruction. A Cantor tube was placed in the stomach with instructions to the nurse to advance the tube gradually and periodically until it progressed into the small bowel. Two days later, a radiograph showed that the Cantor tube was knotted in the gastric lumen (Panel A) and could not be withdrawn. Endoscopy was performed (Panel B), the knot was partially untied, and the tube was removed. The flexible nature of the tube, the routine practice of blindly advancing the tube at the bedside, the apparent failure of the mercury-filled balloon to advance through the pylorus, and the fact that the patient had an usually large cardia all contributed to the development of this complication.
Frederic E. Wien, M.D.
Mount Sinai School of Medicine, New York, NY 10029Joel Cooperman, M.D.
Barnert Hospital, Paterson, NJ 07514- Citing Articles (1)
Citing Articles
1
Amgad S. Hanna, Christopher R. Grindle, Alpesh A. Patel, Marc R. Rosen, James J. Evans. (2011) Inadvertent insertion of nasogastric tube into the brain stem and spinal cord after endoscopic skull base surgery. American Journal of Otolaryngology
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