Enteral Nutrition and Delivery Devices

aka Food & Tubes

Julie Fomenko, MSN, RN Clinical Assistant Professor TAMU-CC Spring 2010

Enteral Nutrition
What is it ?
Administration of nutrients directly into the GI tract by way of a feeding tube Why do we use this ? Dysphagia !!!

Enteral Nutrition
Review of anatomy
Esophagus Stomach Pylorus Small Intestine

Pylorus Small Intestine

Enteral Feeding Tubes

Nasogastric Tube

Enteral Feeding Tubes

Gastrostomy
Feeding tube placed surgically or via endoscopy through skin and stomach wall into the stomach

Enteral Feeding Tubes

GT placed surgically via incision in abdominal wall

GT placed via endoscope directly into stomach

Enteral Feeding Tubes

Jejunostomy
Feeding tube placed directly into jejunum; bypasses stomach; done via endoscopy or surgically

Enteral Feeding Tubes

Gastrostomy vs. Jejunostomy

Enteral Feeding Tubes

Percutaneous Endoscopic Gastrostomy (PEG)

Enteral Feeding Tubes

Dobbhoff Tubes
small bore feeding tube with a weighted tip placed via the nares

Enteral Feeding Tubes

Enteral Feeding Tubes

Recap:
NGT GT PEG JT DHT Nasogastric Tube Gastrostomy Tube Percutaneous Endoscopic GT Jejunostomy Tube Dobbhoff Tube

Questions ??