]> 2026-07-31T07:52:05+00:00 WBR1490 0 en Upright lateral chest radiograph A lateral chest radiograph can cause the 2D projection of the stomach and the lung to be overlapping and may confuse interpretation of the position of the tube. Upright anterior-posterior chest radiograph One can easily distinguish where or not the nasogastric tube tip is in the stomach or not from an upright anterior-posterior chest radiograph. Kidney, Ureter, Bladder radiograph The key question in nasogastric tube placement is whether one accidentally inserted the tube through the trachea rather than the esophagus. A KUB X-ray would be unable to address this question. Chest CT Computed Tomography of the chest would subject the patient to unnecessary radiation and take longer than a chest radiograph. Transesophageal Ultrasound A chest radiograph is easier to perform, faster and more sensitive for nasogastric tube placement than ultrasound. Upper Gastrointestinal tract William J Gibson, Katherine Albutt A 72 year old woman presents to the emergency room for a one week history of bright red blood per rectum and constipation. The patient is hemodynamically stable and shows no signs of acute obstruction or peritonitis. She refuses to drink GoLYTELY to prepare for a colonoscopy, but agrees to administration of the solution by nasogastric tube. Which of the following tests is best to confirm the proper placement of the nasogastric tube? B Management 2020-10-28T02:46:20Z 2459150.6155093 WBR1490