Nasogastric tube

1. A nasogastric tube having a length and comprising:

(a) a main lumen having one or more proximal connectors configured to connect to a source of substances or pressure;

(b) at least four vacuum lumens peripherally circumferentially surrounding said main lumen;

(c) at least four suction ports configured to circumferentially and sealingly draw an inner wall of an esophagus thereagainst, each of said at least four suction ports associated with a different one of said at least four vacuum lumens, wherein said at least four suction ports are distributed between at least two different locations along a longitudinal axis of said nasogastric tube;

(d) a valve connected to said at least four vacuum lumens, said valve configured to shift an applied vacuum between different ones of said at least four vacuum lumens, thereby: varying how said inner wall of the esophagus is circumferentially and sealingly drawn, and changing vacuum intervals between said different ones of said at least four vacuum lumens; and

(e) at least one nasogastric location element contained within said nasogastric tube.

2. The nasogastric tube of claim 1 , further comprising at least one gastric decompression port associated with at least one of said at least four vacuum lumens, said at least one gastric decompression port being disposed distally to the at least two different locations along a length of said nasogastric tube.

3. The nasogastric tube of claim 1 , wherein said at least one nasogastric location element contained within said nasogastric tube is contained within an additional dedicated outer lumen peripheral to the main lumen.

4. The nasogastric tube of claim 3 , wherein said additional dedicated outer lumen is sealed at both a proximal end and a distal end.

5. The nasogastric tube of claim 1 , wherein said at least one nasogastric location element contained within said nasogastric tube is contained within a wall of said at least four vacuum lumens, a wall of said main lumen, or a combination thereof.

6. A system comprising the nasogastric tube of claim 1 and a feeding source, a suction source or a combination thereof.

7. The nasogastric tube of claim 1 , further comprising a feeding mechanism and a suction mechanism, said feeding mechanism comprised of said main lumen and having one or more proximal connectors configured to connect to a source of substances or pressure, and wherein said suction mechanism and/or a gastric decompression mechanism comprised of at least one vacuum lumen of said at least four vacuum lumens.

8. The nasogastric tube according to claim 1 , wherein said main lumen and said at least four vacuum lumens are constructed as one unit.

9. The nasogastric tube according to claim 1 , wherein said at least four vacuum lumens are a separate unit from said main lumen, and wherein said at least four vacuum lumens are slidable relative to said main lumen.

10. The nasogastric tube according to claim 1 , wherein said main lumen and said at least four vacuum lumens are arranged as concentrically arranged conduits.

11. The nasogastric tube according to claim 1 , further comprising one or more auxiliary suction ports proximal to said at least four suction ports.

12. The nasogastric tube according to claim 1 , wherein each of said at least four suction ports comprises a graduated edging.

13. The nasogastric tube of claim 1 , further comprising a manifold configured to connect said at least four vacuum lumens to said valve.

14. The nasogastric tube of claim 13 , wherein said manifold is transparent.

15. The nasogastric tube of claim 1 , wherein said at least four vacuum lumens comprise more than four vacuum lumens.

16. The system according to claim 1 , wherein said nasogastric tube further comprises two or more longitudinal radiopaque stripes.

17. The nasogastric tube according to claim 16 , wherein said two or more longitudinal radiopaque stripes are embedded in an outer wall of said nasogastric tube.

18. The nasogastric tube according to claim 1 , wherein said nasogastric location element is an electro magnet.