“…[91][92][93] When a feeding tube intended to be positioned in the stomach is inadvertently positioned past the pylorus and the child is fed complex formulas requiring gastric enzymes for complete digestion, malabsorption can occur, leading to inadequate weight gain, diarrhea, and dumping syndrome. 94,95 Reported complications of malpositioned feeding tubes in infants and children include pneumothorax, 96 hydropneumothorax, 97 esophageal perforation, 98,99 urinary bladder perforation, 99 and death. 100,101 Ensuring safe and effective feeding via nasogastric tubes requires the nurse to initially insert the tube to the correct place and periodically confirm that the tube remains in the intended location.…”