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.
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.
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.
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.
No: 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
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.
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.
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.
Depends: On the person, size, and many other factors so ask the physician ordering the tube feedings.
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.
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.
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
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.See 1 more doctor answer
Slows down: You are essentially bypassing the stomach (gastric area) and feeding right into the intestines. Thus the motility of the stomach would be less in instances in which you are feeding directly into the intestines.
Old fashion: 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
Less than a week: It is time for a talk with the patient or family on advanced directives. Iv fluids will not sustain life and she probably would pull out tubes. We cannot chemically or physically restraint her so the family needs to look at quality of life and make a decision.See 1 more doctor answer