SVC obstruction and stridor relieved by nasogastric tube insertion

Abstract

Achalasia is an idiopathic motility disorder of the oesophagus of increasing incidence. It is characterized by aperistalsis of the lower oesophagus and failure of relaxation of the lower oesophageal sphincter. Patients classically present with chronic symptoms of dysphagia, chest pain, weight loss and regurgitation, and they commonly suffer pulmonary complications such as recurrent microaspiration of static, retained food contents of the upper oesophagus. However, it has also been described, uncommonly, to present with megaoesophagus and secondary tracheal compression. We present a case of megaoesophagus secondary to achalasia which presented with stridor and signs of acute superior vena caval obstruction.

Anterior Superior Iliac Spine to the Tibial Tuberosity Length

“…1 OG or NG tube feeding may be required for every fifth child admitted to the hospital. 2 Orogastric tubes are used also in other cases 3 , 4 such as aspiration of stomach contents, detecting gastric perforation, administer medications, and so on. It is now made mandatory for every intubated patient.…”