The nasogastric (NG) tube usually is used

when tube feeding will be required for a short

time (i.e., less than three months) although in
some cases it can be used for several years. The
major advantage of nasogastric, nasoduodenal,
and nasojejunal feedings over gastrostomy or
jejunostomy feeding is they do not require
surgery. Therefore, they can be started quickly
and they can be used either for short periods or
intermittently with relatively low risk.
 Gastrostomy tubes are well suited for long-term
enteral feeding. Patient comfort with gastrostomies is
an advantage over NG tubes. Gastrostomies do not
irritate nasal passage, esophagus, or trachea, cause
facial skin irritation, nor interfere with breathing.
Gastrostomies are stable and more physiologic,
allowing continued oral eating. There are button
gastrostomies and other skin level feeding tubes that
are easily hidden under a child's clothing. These
require less daily care and interfere less with a child's
movement. Gastrostomies use a large-bore tube,
which allows a more viscous feedings and decreased
risk of tube occlusion.
Jejunal Tube Feeding
Tube feeding directly into the jejunum (i.e., the middle
section of the small intestines) is used for children
who cannot use their upper gastrointestinal (GI) tract
because of congenital anomalies, GI surgery,
immature or inadequate gastric motility, severe
gastric reflux, or a high risk of aspiration. The jejunal
tube bypasses the stomach decreasing the risk of
gastric reflux and aspiration.
Types of Feeding
 There are two types of feeding that can be done
with an NG tube:
oBolus feeding. A meal-sized amount of liquid
food is given through the tube several times a
day. Bolus feeding is given using a syringe or
a pump.
oContinuous feeding. Liquid food is dripped
slowly through the tube. Continuous feeding
is given using a pump.
Equipment:
Feeding Pump
Feeding bag
Farrell valve
Formula
IV pole
Stethoscope (for nasogastric tube placement
only)
Call your doctor or nurse if your child
has:
Discomfort
Vomiting, diarrhea
Stomach distention (swelling)
Steps

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