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Enteral tubes : I don’t know it exists!

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Nurliyana Awalludin

on 23 March 2012

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Transcript of Enteral tubes : I don’t know it exists!

Enteral Tube Access
What to Consider?
Enteral Tube : I don't know it exists!!
(cc) photo by Metro Centric on Flickr
(cc) photo by Franco Folini on Flickr
(cc) photo by jimmyharris on Flickr
(cc) photo by Metro Centric on Flickr
Nasojejunal / Nasoduodenal
Nasogastric
What is it?
Status of GI tract/ diagnosis
Risk of aspiration
Estimated duration of EN
short/long term
self, care-taker?
costing
Reflux of tube feedings or difficulty with oropharyngeal secretions (high risk)
Check tube placement each time
Elevate head of the bed
Others :
bowel preparation for surgery in seriously ill or undernourished patients,
closure of enterocutaneous fistulas, and
small-bowel adaptation after massive intestinal resection or in disorders that may cause malabsorption (eg, Crohn's disease).
[usually small bore tubes]
Inserted through the nose, throat and down into the stomach.
Temporary solution - short term.
It can give life saving nutrition to a person who is struggling to eat orally themselves.
[usually small bore tubes]
This is similar to the NG-tube except it passes through the stomach into one of the upper parts of the intestine called the jejunum.
decreased risk of aspiration
mostly weighted
unable to tolerate bolus feeds
requires a feeding pump for administration
G-Tube / PEG tube
J-Tube / PEJ tube
Small incision in the abdomen into the gastric
Long-term access: more than 6-8 wks
PEG : placed endoscopically
How it is kept in position?
A balloon on its tip (which can be deflated) or
A retention dome which is wider than the tract of the tube.
G-tubes should be turned regularly and the length measured to ensure it is still correctly in place.
This is the same as both the NJ-tube and the GJ-tube
they make a surgical incision in the abdomen wall,
the difference is they bypass the stomach and go directly into the jejunum.
Gastrostomy-Jejunostomy
GJ-tube
(transgastric-jejunal / TJ tube)
Similar as the G-tube
Surgically inserted,
Like the NJ-tube it is guided though the stomach down into the jejunum.
Low-Profile Gastrostomy
/ Jejunostomy tube
Questions??
NURLIYANA AWALLUDIN
DIETITIAN
Nutrition Support Team,
Hospital Sungai Buloh
Thank you!
Specific :
Prolonged anorexia
Severe protein-energy malnutrition
Coma
Liver failure
Inability to take oral feedings due to head or neck trauma or neurologic disorders
Critical illnesses (eg, burns) causing metabolic stress
Full transcript