Nasogastric tubes
are typically used for decompression of the stomach in the setting of intestinal obstruction or ileus, but can also be used to administer nutrition or medication to patients who are unable to tolerate oral intake.
What are the 3 types of feeding tubes?
- Nasogastric feeding tube (NG)
- Nasojejunal feeding tube (NJ)
- Gastrostomy tubes, e.g. percutaneous endoscopic gastrostomy (PEG), radiologically inserted gastrostomy (RIG)
- Jejunostomy tubes, e.g. surgical jejunostomy (JEJ), jejunal extension of percutaneous endoscopic gastrostomy (PEG-J).
What is a stomach feeding tube called?
A percutaneous endoscopic gastrostomy (PEG)
is a surgery to place a feeding tube. Feeding tubes, or PEG tubes, allow you to receive nutrition through your stomach. You may need a PEG tube if you have difficulty swallowing or can’t get all the nutrition you need by mouth.
Why is nasogastric tube used?
A nasogastric tube (NG tube) is a special tube that
carries food and medicine to the stomach through the nose
. It can be used for all feedings or for giving a person extra calories. You’ll learn to take good care of the tubing and the skin around the nostrils so that the skin doesn’t get irritated.
What is decompression of the stomach?
1. Gastric decompression is
intended for the patient with gastric distention receiving aggressive ventilatory resuscitative measures prior to intubation
. 2. A nasogastric tube may be used to perform gastric decompression for the patient with known or suspected gastric distension.
Which feeding tube is best?
The Feeding Tube Awareness Foundation reports that “
G-tubes
are the most common type of feeding tube. They are placed surgically or endoscopically directly through the skin and into the stomach.” They’re best suited for people who need longer-term tube feeding, generally three months or more.
What is the most common problem in tube feeding?
Diarrhea
. The most common reported complication of tube feeding is diarrhea, defined as stool weight > 200 mL per 24 hours.
How painful is a feeding tube?
A feeding tube can be
uncomfortable and even painful sometimes
. You’ll need to adjust your sleeping position and make extra time to clean and maintain your tube and to handle any complications. Still, you can do most things as you always have. You can go out to restaurants with friends, have sex, and exercise.
Do you feel hungry with a feeding tube?
However, when the tube feed is administered continuously in small amounts over the course of a whole day, you may feel less of the sensation of fullness.
If your intake is less than the recommended amount
or if you take more time in between the feeds, you can feel hungry.
What illnesses require a feeding tube?
- Crohn’s disease (in severe cases)
- Gastrointestinal cancer.
- Gastrointestinal complications due to trauma.
- Intestinal failure.
- Bowel obstruction.
- Microscopic colitis.
- Narrowing in your esophagus or digestive tract (stricture)
- Short bowel syndrome.
Can a patient drink water with an NG tube?
You may be able to still eat and drink whilst you have NG tube as
long as you do not have any swallowing difficulties
.
How long should an NG tube stay in?
The use of a nasogastric tube is suitable for enteral feeding for
up to six weeks
. Polyurethane or silicone feeding tubes are unaffected by gastric acid and can therefore remain in the stomach for a longer period than PVC tubes, which can only be used for up to two weeks.
What are the indications for inserting a nasogastric tube?
- Evaluation of upper gastrointestinal (GI) bleeding (ie, presence, volume)
- Aspiration of gastric fluid content.
- Identification of the esophagus and stomach on a chest radiograph.
- Administration of radiographic contrast to the GI tract.
How do we decompress the stomach?
Gastric suction
, or stomach pumping, is a procedure your doctor can perform to empty the contents of your stomach quickly during an emergency. It’s also known as gastric lavage and nasogastric tube suction.
Why would we need to decompress the stomach?
Associated with control of distention and vomiting, decompression
protects the patient against the bronchial aspiration of gastric contents
, encourages the adequate and rapid healing of intestinal suture lines, minimizes the incidence of abdominal wound dehiscence and evisceration, and decreases the incidence of …
How is gastric decompression done?
By inserting a nasogastric tube, you
are gaining access to the stomach and its contents
. This enables you to drain gastric contents, decompress the stomach, obtain a specimen of the gastric contents, or introduce a passage into the GI tract. This will allow you to treat gastric immobility, and bowel obstruction.
