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DOI: 10.1055/s-2001-15318
© Georg Thieme Verlag Stuttgart · New York
Self-Knotting of Feeding Tube
M. K. W. Li, MBSS, MRCS, LRCP, FRCS
Dept of Surgery
Pamela Youde Nethersole Eastern Hospital
3 Lok Man Road
Chai Wan
Hong Kong
China
Fax: Fax:+ 852-25-153195
Email: E-mail:wtsiu@netvigator.com
Publication History
Publication Date:
31 December 2001 (online)
![](https://www.thieme-connect.de/media/endoscopy/200107/thumbnails/642en01fig1.gif)
![Zoom Image](/products/assets/desktop/css/img/icon-figure-zoom.png)
Figure 1A patient who underwent a three-stage esophagectomy for carcinoma of the esophagus experienced the complications of left vocal cord palsy and choking on swallowing. A feeding tube (2-mm radioopaque PVC tubing, Portex Limited, England) was inserted via endoscopic guidance for nutrition. Upon removal of the tube, we experienced some resistance and the patient complained of retrosternal discomfort. A chest radiograph demonstrated that the tube had become knotted inside the intrathoracic stomach.
![](https://www.thieme-connect.de/media/endoscopy/200107/thumbnails/642en02fig2.gif)
![Zoom Image](/products/assets/desktop/css/img/icon-figure-zoom.png)
Figure 2Esophagogastroduodenoscopy showed a mild anastomotic stricture which required gentle dilation before successful removal of the tube.
M. K. W. Li, MBSS, MRCS, LRCP, FRCS
Dept of Surgery
Pamela Youde Nethersole Eastern Hospital
3 Lok Man Road
Chai Wan
Hong Kong
China
Fax: Fax:+ 852-25-153195
Email: E-mail:wtsiu@netvigator.com
M. K. W. Li, MBSS, MRCS, LRCP, FRCS
Dept of Surgery
Pamela Youde Nethersole Eastern Hospital
3 Lok Man Road
Chai Wan
Hong Kong
China
Fax: Fax:+ 852-25-153195
Email: E-mail:wtsiu@netvigator.com
![](https://www.thieme-connect.de/media/endoscopy/200107/thumbnails/642en01fig1.gif)
![Zoom Image](/products/assets/desktop/css/img/icon-figure-zoom.png)
Figure 1A patient who underwent a three-stage esophagectomy for carcinoma of the esophagus experienced the complications of left vocal cord palsy and choking on swallowing. A feeding tube (2-mm radioopaque PVC tubing, Portex Limited, England) was inserted via endoscopic guidance for nutrition. Upon removal of the tube, we experienced some resistance and the patient complained of retrosternal discomfort. A chest radiograph demonstrated that the tube had become knotted inside the intrathoracic stomach.
![](https://www.thieme-connect.de/media/endoscopy/200107/thumbnails/642en02fig2.gif)
![Zoom Image](/products/assets/desktop/css/img/icon-figure-zoom.png)
Figure 2Esophagogastroduodenoscopy showed a mild anastomotic stricture which required gentle dilation before successful removal of the tube.