the nasogastric tube is coiled in the esophagus, and a portion of the coiled tube demonstrates an acute angle, which is concerning for potential damage to the tube. recommend removal of the current tube, and replacement with a new tube. recommendation(s): the nasogastric tube is coiled in the esophagus, and a portion of the coiled tube demonstrates an acute angle, which is concerning for potential damage to the tube. recommend removal of the current tube, and replacement with a new tube.