Describe indications, advantages, and disadvantages of the following types of enteral feeding tubes: nasogastric tubes, orogastric tubes, gastrostomy tubes, PEG tubes.

Question

What will be an ideal response?

Answer 1

Nasogastric tubes are indicated in cases of normal GI function. They use and stimulate digestive functions and are easy to insert and maintain. They also allow feeding to be initiated quickly as tube placement is easier. Disadvantages of nasogastric tubes include discomfort for the patient, increased risk of aspiration, irritation of the nasal passages, and the potential risk of tube displacement. Orogastric tubes are indicated in cases of normal GI function but their nasal placement should be avoided. Advantages include stimulation of normal digestive function, flexibility in administration, and medications being placed in the tube. Disadvantages include tube displacement, increased risk of aspiration, and discomfort for the patient. Gastrostomy and PEG tubes bypass the upper GI tract and are used for long-term feedings. Gastrostomy tubes allow for bolus feedings, they are for long-term use, and there is less risk of aspiration or tube displacement; however, they require surgery for placement and the patient can develop skin irritation at the insertion site. PEG tubes do not involve the risk of anesthesia, they allow for bolus feedings, and there is less risk of tube displacement; however, there is a greater risk of skin irritation at the insertion site.