Re: Feeding Tube

[Mary Ann Ryan <lambs@xxxxxxxxxxxxx>]

Feeding tubes come in two varieties.  When the initial diagnosis is made
that the patient can  no longer swallow, yet surgery cannot be performed
immediately, a tube is passed from the nose to the stomach and  feeding is
initiated.  Needless to say, such a tube is uncomfortable and traumatic to
the esophagus and trachea, so doctors prefer to insert a PEG tube directly
into the stomach as soon as possible.

PEG tubes are surgically inserted into the stomach or duodenum.  Feedings
can be regulated according to the patient's schedule (some patient have
feedings continuously at night while they're asleep, so that there is little
interference with daily activity).  Bolus feedings can be given (1 can of
tube feeding quickly administered over 5 minutes - given 4 or 5 times a
day), or feedings can be given continuously.  After the feedings are
administered, the tube can be plugged - and the patient can be on their way
to do whatever.

The danger with PEG tubes is that the 'residual'  (the amount of feeding
remaining in the stomach) must be checked.  Occasionally, if the stomach
does not empty properly, a large amount of feeding can remain causing
vomiting.  Since PEG tubes are generally inserted because patients cannot
swallow, vomiting can cause aspiration which may  lead to severe pneumonia.

PEG tubes are a blessing for patients who have difficulty swallowing because
they afford proper nutrition (one of the major causes of severe degeneration
in health) with a minimum of interference in daily life.  If my husband had
even one case of aspiration pneumonia, I would encourage him to have a PEG
placed to avoid further complications.  Incidentally, patients who have some
swallowing ability can still eat food.  Those who have completely lost their
'gag' reflex, however, must avoid all foods and drinks - including water.
-----
God bless
Mary Ann Ryan RN (CG Jamie 60/20)