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[Feeding tubes for tube feeding]
W L Akkersdijk1, A Vos, C van der Werken
1Merwedeziekenhuis, afd. Chirurgie, Dordrecht.
Nederlands Tijdschrift Voor Geneeskunde
|June 12, 1998
Summary
Enteral nutrition uses feeding tubes like nasal, gastrostomy, and jejunostomy tubes for short or long-term nutritional support. Proper selection and energy balance monitoring are crucial for patient health and quality of life.
Area of Science:
- Gastroenterology and Nutritional Support
Context:
- Enteral nutrition is vital for patients unable to consume adequate nutrients orally.
- Various feeding tube types exist, each with specific indications and potential complications.
Purpose:
- To review the different methods of enteral nutritional support.
- To discuss the indications, complications, and optimal use of various feeding tubes.
Summary:
- Nasal tubes are for short-term use, while gastrostomy tubes (especially percutaneous endoscopic gastrostomy) are for long-term support (over 4-6 weeks).
- Jejunostomy tubes are used for early enteral nutrition post-gastrointestinal surgery.
- Common complications include dislodging, clogging, aspiration (nasal), peristomal infection (gastrostomy), and obstruction (jejunostomy). Malnutrition can occur if administered nutrition differs from prescribed amounts.
Impact:
- Proper patient selection and energy balance control enhance patient health and quality of life.
- Feeding tubes, when used appropriately, are effective tools for nutritional support.