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Basics On Gastric Tube Feeding

By Tanisha Berg


People who are ill may be unable to feed themselves. Although they cannot swallow or even chew the food like most other people, the body still requires the nutrients that come from eating. In these cases, a gastric tube feeding might be required. These tubes are medical devices employed to provide patients with nutrition when they are unable to receive it by mouth, cannot safely swallow or need some kind of supplementation for their oral diet.

Being fed in this way is referred to as enteral feeding, tube feeding or gavage. The placement of such devices might be temporary, used as treatment for conditions that are acute. They can also be lifelong, which is true for those who have chronic medical conditions or disabilities.

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.

Many kinds of tubes are available to patients who require this assistance. The doctor will assess the condition and needs of a patient in order to determine which is a best fit for feeding. The effectiveness of this feeding practice may vary based on many factors, including the tube used and the condition of the patient.

In children, these tubes are widely used with good results for a range of conditions. Some kids use them on a temporary basis until they are capable of eating on their own, while others might require them for long-term use. In some cases, these tubes are only used for children to supplement their oral diet, but there are some who might rely solely on these devices.

Patients with advanced dementia may require these as they are unable to feed themselves. It is often recommended that such individuals opt to have another person feed them rather than using these tubes. In these patients, tubes do not lower the life expectancy or protect a patient from becoming ill with aspiration pneumonia. The may, however, increase one's risk of pressure ulcers, contribute to patient distress and require physical or pharmacological restraints.

Those who have eating disorders and are extremely malnourished may benefit from the use of these devices. This might be voluntary or used in cases where a patient with anorexia nervosa resist feeding. These patients might try to tamper with their feed lines, which could interfere with the overall effectiveness of the devices. Nasogastric tubes are commonly used in the ICU or intensive care unit to offer nutrition to those who are critically ill while their conditions are being managed. This practice is done to help those who are unable to get the nutrients they need through traditional means. Like all other medical procedures, there are risks involved.




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