Verifying Intragastric Location of Feeding Catheter

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To the editor: In the article “Enteral Hyperalimentation: An Alternative to Central Venous Hyperalimentation” in the January issue (1), I take mild exception to the suggestion that “injection of air through the catheter while listening over the left upper quadrant with a stethoscope” is adequate to verify the proper position of a nasogastric catheter. We routinely confirm the intragastric position of the feeding catheter roentgenographically, just as we confirm the position of a central venous catheter roentgenographically for total parenteral nutrition. This routine has been practiced since 1972 and has on several occasions avoided unnecessary complications by identifying catheters that

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