Understanding Feeding Tube Insertion
Feeding tube insertion is a medical procedure designed to provide nutritional support when oral intake is not possible or insufficient. At Bangalore Gastro Centre, we perform two primary types of feeding tube insertions:
- Percutaneous Endoscopic Gastrostomy (PEG): A feeding tube placed directly into the stomach through a small incision in the abdomen.
- Percutaneous Endoscopic Jejunostomy (PEJ): A feeding tube placed into the jejunum (part of the small intestine) for patients requiring bypass of the stomach.
- Nasogastric Tube (NG): A temporary tube passed through the nose into the stomach for short-term nutritional support.
- Nasojejunal Tube (NJ): A temporary tube passed through the nose into the jejunum for patients needing bypass of the stomach for feeding.
These procedures are commonly used for individuals with swallowing difficulties, certain digestive disorders, or long-term nutritional needs.
Nasogastric (NG) Tube Insertion
An NG tube is a flexible tube inserted through the nose and down into the stomach. This procedure is typically recommended for short-term feeding or to drain stomach contents in specific conditions.
Indications:
- Short-term nutritional support.
- Patients with swallowing difficulties, such as post-stroke recovery.
- Gastric decompression for conditions like bowel obstruction.
- Administration of medications or fluids.
Procedure:
- The tube is gently inserted through the nostril under local anesthesia or lubrication to reduce discomfort.
- Placement is confirmed using an X-ray or by aspirating stomach contents.
- The tube is securely taped to the nose to prevent dislodgement.
Duration:
NG tubes are usually used for a few days to weeks, depending on the patient’s condition.
Nasojejunal (NJ) Tube Insertion
An NJ tube is a longer tube that bypasses the stomach and is inserted into the jejunum, the middle section of the small intestine. This is ideal for patients who cannot tolerate feeding into the stomach.
Indications:
- Severe gastroparesis (delayed stomach emptying).
- Pancreatitis, where gastric feeding may exacerbate symptoms.
- Risk of aspiration when stomach feeding is not safe.
- Severe gastric reflux or vomiting.
Procedure:
- The tube is inserted through the nose under fluoroscopic or endoscopic guidance to ensure accurate placement in the jejunum.
- Placement is confirmed through imaging.
- Like the NG tube, it is secured to the nose to minimize movement.
Duration:
NJ tubes are intended for short-to-medium-term use, typically ranging from a few weeks to a couple of months.
Who Might Need Feeding Tube Insertion?
Feeding tube insertion is recommended for individuals with:
- Neurological disorders: Conditions such as stroke, Parkinson’s disease, or ALS.
- Digestive issues: Obstructions, gastroparesis, or severe malabsorption.
- Cancer: Head, neck, or esophageal cancers affecting swallowing.
- Chronic conditions: Severe anorexia or other conditions causing malnutrition.
How Bangalore Gastro Centre Can Help
Comprehensive Evaluation and Planning
Before the procedure, our team conducts a thorough assessment, including:
- Medical history review.
- Nutritional and gastrointestinal evaluations.
- Imaging studies if necessary.
This ensures that the chosen feeding tube type and placement are suited to the patient’s specific needs.
Safe and Minimally Invasive Procedure
Our specialists perform PEG and PEJ insertions using advanced endoscopic techniques under local anaesthesia and sedation. The procedure typically involves:
- Endoscopic guidance to visualize the digestive tract.
- Making a small abdominal incision for tube placement.
- Securing the tube to ensure long-term functionality.
The entire process is designed to minimize discomfort and reduce recovery time.
Post-Procedure Care and Monitoring
We provide detailed post-procedure care instructions and regular follow-ups to ensure:
- Proper tube maintenance and hygiene.
- Monitoring for complications such as infections or tube dislodgement.
- Ongoing nutritional assessments to optimize patient health.
Results
Feeding tube insertion allows patients to:
- Maintain adequate nutrition and hydration.
- Reduce the risk of aspiration and associated complications.
- Improve quality of life in cases of chronic or debilitating conditions.
Potential Risks and Complications
While feeding tube insertion is generally safe, possible risks include:
- Infection at the insertion site.
- Bleeding or injury during the procedure.
- Tube blockages or dislodgement.
Our team takes every precaution to minimize these risks and promptly addresses any complications if they arise.
Meet Our Expert Team
Our skilled gastroenterologists and dedicated staff are highly experienced in performing feeding tube insertions. We are committed to providing compassionate and individualized care for all patients.
Contact Information
For appointments and inquiries, please contact us:
Tel: 080-4688-8888
Email: [email protected]
Website: www.bangaloregastrocentre.com
Frequently Asked Questions
Q1. How do I prepare for a feeding tube insertion?
A1. Preparation typically involves fasting for 6-8 hours before the procedure. Our team will provide specific instructions tailored to your condition.
Q2. Is the procedure painful?
A2. The procedure is performed under local anaesthesia and sedation, ensuring minimal discomfort.
Q3. How long does it take to recover after the procedure?
A3. Most patients recover within a few days and can resume normal activities, excluding strenuous ones, soon after.
Q4. How is the feeding tube maintained?
A4. Proper cleaning and flushing of the tube are essential to prevent blockages and infections. Our team will guide you through the care routine.
