Monday, August 11, 2014

What To Know About Gastric Tube Feeding

By Tanisha Berg


Sometimes people who are sick are, for one reason or another, unable to eat on their own. Though they might not be able to chew and swallow the food, their body still relies on the nutrients from eating and so a gastric tube feeding may be necessary. Feeding tubes are medical devices that are used as a way to provide this necessary nutrition to patients who are unable to get nutrition by mouth, incapable of safely swallowing or need some nutritional supplementation.

Gavage, and enteral and tube feedings are the terms used to describe this process. Placement of devices is often temporary when being used to treat acute conditions. In cases of chronic disabilities and conditions, these might be used on a lifelong term.

Typically these are seen in the medical industry. Most tubes are made from polyurethane, silicone or some other soft material. The devices are identified based on their intended use and the place where they are inserted. The types that are commonly used today include gastrojejunostomy, jejunostomy, nasogastric, gastric or gastrostomy, and nasojejunal.

There are a lot of medical conditions that may require the use of these devices. Usually this is automatically employed in cases of prematurity, anatomical or post-surgery malformations of the mouth and esophagus, cancer, neuromuscular and neurological disorders, inability to swallow, Sanfillippo syndrome, digestive disorders, and malnutrition. Doctors will use their discretion and expertise to identify situations in which a feeding tube could be effective.

There are different kinds of tubes that can be used for people who need this type of assistance. The doctor will determine which one will be most effective based on the patient's needs, condition and other factors. How effective this practice of feeding is will differ, dependent on many potential factors, including patient condition and tube used.

These kids are used with great success in children with various medical conditions. Some of the kids utilize these on a temporary basis until they can eat without assistance, others may need these on a long-term scale. In some instances, the tubes are employed for kids that have to supplement their oral eating, but other kids may rely entirely on these devices for their nutritional needs.

Patients that have advanced cases of dementia may be incapable of eating without help. In these instances, it is often suggested that assisted eating be used rather than the application of a tube. Dementia patients do not have a lowered life expectancy or protection from aspiration pneumonia when they use these tubes. Instead, their risk of pressure ulcers and distress are increased, and there is a often a requirement of restraints needed.

People struggling with anorexia nervosa or some other eating disorder might be malnourished and therefore need these tubes. Sometimes this is done voluntary and other times there is resistance from the patient who also refuses to eat. These individuals may attempt to mess with their feeds, which could lower the effectiveness of such devices. Nasogastric tubes are typically utilized in the ICU, intensive care unit, for critically ill patients undergoing treatment for their condition. The use of tubes is meant to help people receive necessary nutrients that they cannot get through the traditional way of eating. There are potential risks and side effects patients should know.




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