Doctor insights on:
Jejunostomy Tube Feeding Formulas
For those unable to swallow well/high risk of aspiration, a tube can be placed via the nose, mouth, or inserted through the abdominal wall (see pic) into the stomach or even further down into intestine. Food (usually liquid form such as ensure) is then fed through this tube--this is tube feeding. Have ...Read more
Analyse risk/benefit: Could be a benefit, it depends on the whole clinical picture. Jejunostomy tubes typically are for feeding when the patient needs nutrition. With diabetes, Insulin will be needed. So the same risk comes with any feeding; how much Insulin to cover? Your dietician and doc will be able to help you with this. You may need a long acting Insulin if you are feeding over night. Be well. ...Read more
Is it possible for someone with gastroparesis to live with a jejunostomy tube and have a decent quality of life/active life?
It is: It may be more difficult than others, due to the careful need to monitor your nutritional status and manage the jejunostomy tube. But gastroparesis requiring tube feeds in itself shouldn't preclude you from having good quality of life. Have faith and be a mindful active participant in your healthcare. Best of luck. ...Read more
Billroth II recon; tube jejunostomy (witzel) d1 lymphadenectomy and celiac nodes, can you tell me more?
Stomach lesion: Billroth II reconstruction is utilized for stomach malignancies where antrum and pylorus are removed and to reconnect the proximal stomach to the intestine, a loop of proximal jejunum is attached end of transected stomach to side of jejunum. Jejunostomy is a tube inserted into distal jejunum for feeding purposes, with lymphadenectomy to remove possible metastatic lymph nodes. ...Read more
Is a g-tube or jejunostomy be viable in a 15 year old with cerebral palsy who cannot get enough calories?
Options: Either option will achieve the goal of increasing calories. Talk with your surgeon or doc, about the risk/benefit profile of each procedure. There are tubes that can be placed endoscopically, and have two ports for added safety and convienience. ...Read more
Healthy tissue: You should see pinkish or redish tissue protruding from the abdominal wall skin. This is healthy tissue. It should be functioning with gas and stool in the ostomy appliance or bag. ...Read more
Long term use of nasogastric tube can cause erosion to the nose and nostrils and can cause all kind of sinus problems
if tube feeding warranted the use PEG tube which a tube that could go directly to the stomach via the abdomen bypassing the upper part and could be inserted by a scope no need for surgery or anesthesia and tolerated by any body regardless how sick they are it could be done bed side ...Read more
Simple bypass: Ng feeding is a simple and short term way to maintain enteral (using the digestive tract) feedings to maintain adequate nutrition while a patient is not aleart enough to feed or has problems with the swallowing process. If the patient has long term needs, a tube thru the abdominal wall to the stomach can do the same thing. Good nutrition is important to healing. ...Read more
The answer really: Depends on why the patient has the feeding tube. Obviously, this treatment is only used when there are significant health problems that impair normal swallowing and eating. A person who has had a stroke might survive several years; a person with dementia has a poorer prognosis. Adequate nutrition can be supplied via a feeding tube and if no other issues, the patient could survive a long time. ...Read more
Feeding via a tube: For those unable to swallow well/high risk of aspiration, a tube can be placed via the nose, mouth, or inserted through the abdominal wall (see pic) into the stomach or even further down into intestine. Food (usually liquid form such as ensure) is then fed through this tube--this is tube feeding. Have fun learning. Good luck. ...Read more
Depends: On the person, size, and many other factors so ask the physician ordering the tube feedings. ...Read more
PEG Tube: A peg tube is used to deliver nutrition directly into the stomach bypassing the usual entry of nutrients through the mouth. You will need to know about some care issues related to the tube and some signs of complications. You should be supported by a registered dietician and the physician that placed the tube. ...Read more
Instructions: You should be supplied proper information from your surgeon, nurse, or hospital dietician. There are many types of feedings available & need to be tailored to the person's needs. Not complicated, but need the proper training & instructions to be done correctly. ...Read more
Nutritionist: It sounds like you need to see/work with a nutrionist/dietician - who specializes in those requiring tube feeds. Several things could be going on like suboptimal caloric intake, suboptimal absorption of tube feeds or increased metabolic needs related to associated ailments that you may have. It's hard to give nutrition advice without a comprehensive understanding of what's going on. Best of luck ...Read more
Malnourished: If you feel that you have inadequate nutrition, then you should certainly discuss these options. Certain conditions require supplemental nutrition or fluid such as malnutrition, dehydration, pancreatitis, short bowel syndrome and certain cancers. Your doctor should be able to tell you if you require supplementation. If you are frustrated, it is ok to search for another opinion. ...Read more
No body use nasal gastric feeding tube now unless it have been used for a very short period of time
if it was used they use it on any patient that not capable of eating but his guts is capable of digestion the food
good way of nutrition for a patient that could not feed themselves
IV fluid has no nutritional values only good for hydration
if feeding needed they use now PEG tube ...Read more
What plan of action can be given to a patient who survived sudden cardiac death and is now undergoing nasogastric tube feeding?
Quality of life: For the vast majority of hospice patients, tube feeding actually makes them more uncomfortable--they retain fluid, have more secretions, have to deal with the tube. And tube feeding has never been shown to improve quality of life or lengthen survival--and this has been studied. Removing the tube can improve comfort and dignity, and won't hasten death. ...Read more
My 33 yo daughter has cystic fibrosis and after an extended illness is still on a vent and getting continuos tube feeding but is still third spacing. She eats a bit as well, any suggestions to improve her nutrition needed.?
Good support: It sounds like she's getting good nutritional support, but is still too hyper metabolic from being sick to keep up with her protein imbalance of production versus utilization. It is important to avoid overfeeding her because it can make it more difficult to get her off of mechanical ventilation due to excessive co2 production. ...Read more
Cuz of gastroparesis IV been eating about 1000 calories a day for 2 years when not on TPN or tube feeding what can be the effects besides weight loss?
Gastroparesis: The effects are dehydration, vitamins and mineral deficiency with muscle loss ; weakness. It is interesting to note you are 17 year old. What is the cause of gastroparesis after these diagnostic tests? Treatment of cause is cure. I see you are on reglan (metoclopramide). Propulsid can be tried. You may want to be aware of electrical pacing of stomach, surgery or jejunostomy tube for long range. Thanks. ...Read more
Does a parent have a right to withhold g-tube feeding from child who suffered tbi due to near drowning?
Probably: Medical ethics has certain principles and one of those is of autonomy. In the case of minors, parents generally have the right of autonomy to make decisions for their child. However, the physician can uphold the principle of beneficence and seek court orders to do what they feel is a better choice for the child but the court has to decide. State laws probably vary also. ...Read more
Bowel movement coming through feeding tube feeding tube and bowel movement is coming up through it
Not good at all.:
First thing is to make sure that the bowel is not full of feces. You should stop the feeding for now. Patient may have obstruction or ileus. There needs to be imaging for example abdominal flat plate or ct scant abdomen. If no ileus or obstruction, no feces, perhaps Reglan (metoclopramide) and slowing down the tube feeding may help.
Most importantly, see GI specialist. ...Read more
Are there any practices I can implement that will encourage my 4 month old with oral aversion to nipple feed her formula so we can remove her g tube?
Try rooting reflex: Try taking advantage of the rooting reflex by putting the nipple on the side of her cheek. She can find the nipple through the reflex. ...Read more
2 month old formula fed baby passing adult-like stool? Semi hard constitency/long tubes. She is very fussy/cries most of the day. Formula change?
In the absence of: Diarrhea, vomiting, poor weight gain, eczema, wheezing or other signs of milk protein allergy or milk protein intolerance, I'd say take your baby & a diaper full of stool to her pediatrician, discuss your concerns & wait to see what her physical exam reveals before trying an elimination diet. An elimination diet includes re-introducing the suspected offending food under medical supervision. ...Read more
Easier feedings: The primary advantage of a feeding tube, whether nasal (NG) or surgical, is easier feeding. Tubes may also be used to deliver medicines or to check for gastric residuals. Tubes need upkeep and may become blocked or dislodged, so it is important to have a plan for routine and emergency care. All tubes carry the risk of infection: aspiration pnemonia for NG tubes, skin infections for surgical tube. ...Read more
Feeding tube: Essentially, anytime someone is unable to take in adequate calories and nutrients for a prolonged period of time and we are somehow able to get access to the digestive tract, such as with a nasogastric tube or a gastrostomy tube. Hope that helps. ...Read more