How to plug a jejunostomy tube

Installation of the food hose after the hub

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A food tube is a device that delivers nutrients directly into the stomach of a person who cannot swallow their own food.

Some common reasons someone might need a feeding tube are:

  • Swallowing mechanism is not effective
  • in a coma or vegetative state
  • Cancer of the head and neck so that he cannot swallow
  • chronic loss of appetite due to serious illness or injury

There are three main types of food tubing:

Nasogastric tube: This food tube, also known as the NG tube, is less invasive than the G or J tube (see below) and is only used temporarily. The nasogastric tube is thin and can be easily lowered from the nose via the esophagus to the stomach and easily withdrawn. Because the hose is thin, it is often clogged and new inserts are required. However, the use of this tube has also been linked to sinusitis and other infections. Other than that, this tubing is the easiest and most reliable way to treat patients who have difficulty swallowing in a hospital.

Feeding tubes: A stomach tube, also called a G tube or PEG tube, is a permanent (but reversible) feeding tube. The placement of the G-tube requires a minor surgery in which the G-tube is inserted directly into the abdomen from the skin of the abdomen. This tube is placed in the stomach with a circular wire (commonly known as a "pigtail") or with a small airship. This surgery is safe, but a small percentage can lead to complications such as bleeding and infection.

Jejunostomy cannulas: Also known as a J-tube or PEJ tube, a jejunostomy tube is similar to a G-tube, but the tip is in the small intestine so that it runs through the stomach. This is especially true for people whose stomach has the ability to transport food into the intestines due to poor mobility. It is also commonly used in patients with gastroesophageal reflux disease (GERD) and in those who are overweight.

When does the use of food hoses really make sense?

Food hoses are very helpful for people who cannot afford to eat as a result of acute illness or surgery, but who can still recover. Food tubing also helps patients who cannot swallow temporarily or permanently, but who have normal or near-normal functions. In such cases, food tubing may be the only way to provide the nutrients or medication you need.

Does the feeding tube help stroke patients?

Food tubing can help stroke patients. Research has shown that up to 50% of all stroke patients in hospital are significantly malnourished. More importantly, complementary studies show that preventing malnutrition by feeding patients through food lines in the early stages of acute stroke improves their recovery compared to those who do not use food tubing. The type of tubing that is commonly used in the first 30 days after a stroke is the NG interval.

In some cases, the use of food tubing can be very controversial. These include the following:

  • Install permanent food hoses on people who are comatose from disease progressing and fatal diseases (such as metastatic cancer) and who will soon end their lives
  • Place a permanent food tube on a person who is unable to express their wish because of an illness, but who has previously said that they do not want to be fed through a food tube
  • Install permanent feeding tubes for coma patients who have severe brain damage and cannot recover, but can only survive on artificial food
  • Attach a food hose to the person who has signed or determined that they never want to be fed through a food hose.

Unfortunately, there is no detailed discussion between doctors and families about this problem. Many doctors are rushing to install food tubing and many families are rushing to agree without knowing the benefits and consequences of setting up permanent food tubing.

Installation of the food hose after the hub
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