Doctor insights on:
Why Should A Feeding Tube Be Inserted In The Duodenum And Not The Stomach
My husband is currently eating through a feeding tube (peg) inserted in stomach, I need professional advice on how it should be handled?
PEG tube handling: Everyone's different, based on reasons the peg tube was placed, duration of anticipated use, calorie requirements of the patient, patency of stomach outlet & the rate of GI functioning/motility, patient's tolerance to commercial feedings; feeding schedule (continuous versus bolus feeds), device used (button, traditional, etc.); &? Oral supplements permitted. Best to speak with your husband's doc. ...Read more
Safer than starving: Within reason, people with COPD who weigh more live longer. No procedure or treatment is completely risk free but in many cases the risk of the procedure is less than the risk of not having the procedure. This should be discussed with the doctor recommending and/or performing the procedure. ...Read more
No: Swallowing difficulties need to be formally evaluated. A feeding tube is the last resort when the swallowing function is so bad that there is risk of food or liquid going into the lungs. ...Read more
When eating or drinking foods it is going into my lungs instead of my stomach. I have a feeding tube, and just had a test. What doctor should I see.
Why do esophageal cancer patients have a feeding tube inserted into the duodenum instead of the stomach?
To avoid stomach: When your esophagus is removed due to cancer (esophagectomy) in order to eat again, your stomach may be used to replace your esophagus (stomach conduit). Therefore you want to avoid any surgery that may compromise the use of the stomach as a conduit. Therefore a feeding tube would be placed in the small bowel or jejunum. This is called a "j" tube. ...Read more
Any ideas why a person with esophageal cancer will have a feeding tube inserted into the duodenum instead of the stomach?
Depends.: Feeding tubes are either placed in a percutaneous fashion or an open fashion, depending on multiple factors with the patient. The percutaneous entry route is done without surgery, the open route is a surgical procedure. Either way, most tubes can usually be removed by a hard pull on the tube. It comes out of the skin incision and the tract usually closes up on it's own. ...Read more
Parkinson's: In general, parkinson's-afflicted people tend to deteriorate over time. This mainly is a neurological disease, and dementia, as well as deterioration of motor function can become compromised. That being said, I treat a lot of patients with Parkinson's disease, and most of them do not need, or have needed feeding tubes. ...Read more
No: A dietician can help here.Get a more detailed answer ›
No: In cases of severe weight loss a feeding tube might be considered. It is unlikely to help. ...Read more
I had botox in my neck 5 months ago and I still can't swallow and look like a skeleton. Will I eventually be put on a feeding tube?
Need nutrition: Depending on your swallowing disorder and your weight you may need a feeding tube, at least on a temporary basis. The two common places for the feeding tube are stomach or small intestine. These can be placed with either surgery or endoscopy. Calculate your BMI - body mass index. If it is 18 or less you definitely need nutritional support. Also if you have lost at least 10% of your weight quickly ...Read more
Hungry end-stage melanoma pt, age 76, now aspirates all food; family won't allow feeding tube. 1. How to nourish and 2. Is food 'feeding' the cancer?
Hospice: It sounds like this person would benefit from a hospice consult. It seems that some decisions regarding her future have already been made.. ...Read more
My mom has COPD. She got a trach, been on ventilator for 28 days, and they won't take the feeding tube out to let her eat, but she can swallow fine. Why???
Complex: For the best answer, ask your mother's physicians because they know the specifics of her case. Generally speaking, it is considered high risk to feed by mouth while on positive pressure ventilation even via trach. ...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
Not really: Hello, it would not be advisable as even when they are needed, feeding tubes should only be used when better options do not exist. You would open yourself up to the discomfort and risks associated with a foreign body without any need to do so. Definitely not advisable. More important is why you think you would benefit from one as your concerns may be adressed by a better method. ...Read more
Depends on the pt: Pros: the patient can utilize their gi tract for food/liquids which is always best. Cons: risk of procedure, risk of aspiration. At the end of life, risks often outweigh the benefits. For a young patient undergoing ENT surgery, the risk is minimal compared to the benefit. ...Read more
Multiple.: The most common problem is leakage from around the tube. When the tube has been in for a long time or if it gets manipulated too much, gastric contents can leak around the tube onto the skin. This is the most common problem I see. Other potential problems include infection of the skin at the exit site and complete dislodgement or accidental removing of the tube. Sometimes an obstruction can occur. ...Read more
Weight: If you are maintaining your weight you are probably O.K. ...Read more
Need info..: Is it an NG, OG or gastric feeding tube? Depending on what type, there are different techniques for taping in place to prevent accidental dislodgement. Can ask nurse to show you or re-submit question with type and I'll see if I can talk you through it. ...Read more
Not sure...: If you mean a feeding tube that goes in your nose, most people have complaints of pain and discomfort with the tube. You can develop sinusitis with it in long term as well. If you mean a feeding tube going into the stomach, there are no major long term problems. Most patients tolerated it well with little pain or discomfort after healing from placement. ...Read more
Temporary: Use of an esophagostomy feeding tube is at times indicated in the case of facial and neck and upper airway surgery on a temporary basis. Usually for long term feeding other access points are better tolerated. Tube feeding can provide valuable nutrition and medication route as well as maintaining gut function and flora that may be essential to immune health. Dietician should be involved. ...Read more
MR enteroclysis: A nasojejunal tube is used for a special MRI procedure called enteroclysis. Putting the tube directly into the small bowel allows the radiologist to fill the intestine with contrast fluid very quickly and get a very good look at the intestine to see if there are polyps, masses, strictures or inflammatory wall thickening. Just drinking the fluid would never fill the intestine completely. ...Read more
Pros and cons:
Pros feeding through the digestive system this way it will not become atrophic from lack of use closest to natural feeding
pros could be inserted directly to stomach bypassing the upper part by a scope no surgery or general anesthesia
third could be removed any time if it is no longer needed it
cons if the patient does need feeding or depend on what you are comparing it to like other feeding opti ...Read more
Need expert advice. After minor surgery my dad is having trouble swallowing. They want to put in a feeding tube?
Difficult ans: This is difficult to simply answer. What was the surfery what was his baseline condition what transpired post op did he have a stroke. These are all points to consider. Speak to his doctors and consider a neurology consult to determine why he cannot swallow. In the short term he can be fed through a tube running from the nose to the stomach, ...Read more
After minor surgery my dad is having trouble swallowing. They want to put in a feeding tube. What can we expect afterwards?
I am a 53yo female with autoimmune disease, on a feeding tube (gastrectomy) and diagnosed with CLL, yet I'm gaining weight?
Possible: If you are not active and are fed more calories than you need, you will gain weight. If you are on steroid, it will do the same. Also need to know if you have low thyroid function as well since thyroid involvement is very common among people with autoimmune disorders ...Read more