Nasogastric (NG) insertion
Gastric decompression (drainage)
Gastric irrigation
Gastric feeding
Enteral feeds
To supplement diet
To provide total nutrition
Delivered by N/G, PEG, or PEJ
Total parenteral Nutrition (TPN)
Used when unable to digest through the intestine
A special IV line is established in a larger vein, and liquid nutrition is delivered
Ostomy (temporary of permanent)
Nutrients given via the GI tract (Enteral): Indications
Dysphagia
Prolonged illness
Anorexia or other psychological disorders
Oropharangeal / esophageal disorders
Cancers of upper GI tract
Upper GI surgeries
Nasogastric tube
flexible tube inserted into the nose ending in the stomach - nutrients are instilled
through it
You will also see this tube used frequently when the stomach needs to be
drained of contents and/ or relieved of pressure from obstruction in the GI tract,
or when the GI tract needs to be inactive due to surgery / reconstruction. In this
case it is most often attached to a suction device to expel the contents and
maintain release of gas pressure
Nasodoudenal
, flexible silicone tube usually inserted into the nose with a weighted tip and
guide wire for insertion – should end in 2nd or 3rd portion of duodenum
can be left in place for 6 weeks or more
Causes less local irritation than nasogastric tubes
Unlike a large-bore nasogastric tube, it is not attached to suction
Nasojujenal
flexible silicone tube inserted into the nose with a weighted tip and guide wire
for insertion - should end jujenum part of the small bowel
As with the nasoduodenal, it is used more for short-term use
Both are non-surgical insertions
Esophogastrostomy
is a procedure which creates an opening in the esophagus
gastrostomy
creates an opening into the stomach
jejunostomy
creates an opening into the jejunum
For esophagastrostomy, gastrostomy, and jejunostomy...
The feeding tube is then inserted through the surgically created opening.
Used for long-term feedings that bypass the upper GI tract
Percutaneous endoscopic gastrostomy (PEG)
is a technique of placing a gastrostomy tube into the stomach percutaneously,
aided by endoscopy
Percutaneous simply means "through the skin'
An endoscope is a flexible tube with a light on the end that is used to place a
PEG tube properly in the stomach
Percutaneous endoscopic jujenostomy (PEJ)
For some patients it may be better if the feeding goes directly to the intestine
instead of through the stomach first. A tube, called a jejunostomy tube or j-tube,
Gastric decompression (drainage)
Gastric irrigation
Gastric feeding
Enteral feeds
To supplement diet
To provide total nutrition
Delivered by N/G, PEG, or PEJ
Total parenteral Nutrition (TPN)
Used when unable to digest through the intestine
A special IV line is established in a larger vein, and liquid nutrition is delivered
Ostomy (temporary of permanent)
Nutrients given via the GI tract (Enteral): Indications
Dysphagia
Prolonged illness
Anorexia or other psychological disorders
Oropharangeal / esophageal disorders
Cancers of upper GI tract
Upper GI surgeries
Nasogastric tube
flexible tube inserted into the nose ending in the stomach - nutrients are instilled
through it
You will also see this tube used frequently when the stomach needs to be
drained of contents and/ or relieved of pressure from obstruction in the GI tract,
or when the GI tract needs to be inactive due to surgery / reconstruction. In this
case it is most often attached to a suction device to expel the contents and
maintain release of gas pressure
Nasodoudenal
, flexible silicone tube usually inserted into the nose with a weighted tip and
guide wire for insertion – should end in 2nd or 3rd portion of duodenum
can be left in place for 6 weeks or more
Causes less local irritation than nasogastric tubes
Unlike a large-bore nasogastric tube, it is not attached to suction
Nasojujenal
flexible silicone tube inserted into the nose with a weighted tip and guide wire
for insertion - should end jujenum part of the small bowel
As with the nasoduodenal, it is used more for short-term use
Both are non-surgical insertions
Esophogastrostomy
is a procedure which creates an opening in the esophagus
gastrostomy
creates an opening into the stomach
jejunostomy
creates an opening into the jejunum
For esophagastrostomy, gastrostomy, and jejunostomy...
The feeding tube is then inserted through the surgically created opening.
Used for long-term feedings that bypass the upper GI tract
Percutaneous endoscopic gastrostomy (PEG)
is a technique of placing a gastrostomy tube into the stomach percutaneously,
aided by endoscopy
Percutaneous simply means "through the skin'
An endoscope is a flexible tube with a light on the end that is used to place a
PEG tube properly in the stomach
Percutaneous endoscopic jujenostomy (PEJ)
For some patients it may be better if the feeding goes directly to the intestine
instead of through the stomach first. A tube, called a jejunostomy tube or j-tube,
