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Case of the Week 285 
What's the most likely diagnosis?
- Post-feeding tube insertion radiograph
- Feeding tube in distal esophagus
- Feeding tube in right pulmonary artery
- Feeding tube in right lower lobe bronchus
- Feeding tube in hiatal hernia
- Can't tell without a lateral view
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Answer:
3. Feeding tube in right lower lobe bronchus
More (Click Discussion Tab)
Nasoduodenal Feeding Tubes (Dobhoff, Dobbhoff Tubes)
Indications for Use
- A small-bore, flexible silicone tube usually inserted into the nose with a weighted tip that should preferentially be past the pylorus
- Used for nutrition in patients who
- Require mechanical ventilation
- Have an altered mental status
- Have swallowing disorders
- It is a narrow-bore (3mm-8 French) which can be left in place for 6 weeks or more
- Causes less local irritation than nasogastric tubes
- Unlike a large-bore nasogastric tube, it is not attached to suction
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