TY - JOUR T1 - Complications of nasojejunal tube insertion in the neonate JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed DO - 10.1136/archdischild-2021-322669 SP - edpract-2021-322669 AU - Aoife Hurley AU - Joseph Wiltshire AU - Lawrence Miall Y1 - 2022/01/24 UR - http://ep.bmj.com/content/early/2022/01/24/archdischild-2021-322669.abstract N2 - On ward-round, a male patient born at 26+2 weeks, who is now term corrected weighing 1.61 kg, is being reviewed. Previously, he had significant renal impairment secondary to a patent ductus arteriosus (PDA), which was ligated day 25 of life and renal function improved. His issues now include poor weight gain, vomiting, hyperparathyroidism, bilateral nephrocalcinosis and anaemia. He had necrotising enterocolitis (NEC) successfully medically managed 6 weeks prior to this review. Despite optimising medical reflux management and nutritional intake, vomiting and weight gain remained problematic. The decision was made for nasojejunal tube (NJT). He had a size 8 fr silk NJT inserted, with guidewire removed from NJT before insertion.Figure 1 Abdominal AP X-ray film demonstrating NGT (thinner) and NJT (whiter and thicker) in situ. AP, anteroposterior; NJT, nasojejunal tube.What should you do after reviewing figure 1?Commence feedsAdvance NJT, recheck with further X-rays prior to feedingAdvance NJT, commence feed if it advances easilyRemove NJTRefer to interventional radiology for … ER -