In general, all patients have a nasogastric tube after esophagectomy. Do not move, manipulate, or irrigate the nasogastric tube. If the tube comes out for any reason, do not attempt to replace it. The nasogastric tube goes through the anastomosis and is not sutured in place.9,19,22 Attempting to replace the nasogastric tube may result in damage to the anastomosis. Be sure to notify a physician immediately if the tube becomes dislodged or does not appear to be functioning properly.25 Monitor the tube for patency and assess the drainage for color and amount.