Tube Feeding Quick Reference Guide

This information explains the different types of feeding tubes and the feeding procedures.

Types of Feeding Tubes

Nasogastric (NG) tube

  • An NG tube is placed through your nose, down the back of the throat, through the esophagus (food pipe), and into your stomach.

Percutaneous endoscopic gastrostomy (PEG)

  • A (PEG) tube goes from an opening in your abdominal wall into your stomach.
  • This tube is placed using an endoscope. An endoscope is a flexible tube with  a camera at the end used to examine the inner parts of the body.

Percutaneous endoscopic jejunostomy (PEJ)

A (PEJ) tube goes from an opening in your abdominal wall into your jejunum (small intestine). It skips the stomach.

  • This tube is placed using an endoscope, which is an instrument used to examine the inner parts of the body.
  • A pump must be used for feedings.

Button

  • A PEG or PEJ tube may be replaced by a button. The button lies flat on your abdomen (belly) and is more comfortable for long-term use.
  • An adapter must to be used for feedings.

Surgical gastrostomy tube (GT)

  • A surgical GT goes from an opening in your abdominal wall into your stomach.

Surgical jejunostomy tube (JT)

  • A  JT goes from an opening in your abdomen into your small intestine (jejunum).
  • A pump must be used for feedings with a JT tube.

PEG-J (Super PEG)

  • A PEG-J (also called a Super PEG) is a tube within a tube. It goes from an opening in your abdomen into your stomach.
  • This tube can be used to drain fluid from your stomach.
  • This tube has an extension that goes into your jejunum for feeding.
  • A pump must be used for feedings in the jejunum.
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Tube Feeding

Formula: _______________

Goal: _______________ cans or milliliters (mL) per day

  • Sit in an upright position (at least a 45-degree angle) during your feeding.
  • You can walk around during your feeding, if you wish.
  • Do not lie down for 1 hour after your feeding.
Bolus Method
Gravity Method
Pump Method
Give ____ cans
3        4        5

times a day.

Flush your tube with 30 to 60 mL of water before and after each feeding.

 
Give ____ cans
3        4        5

times a day over ____ minutes.

Flush your tube with 30 to 60 mL of water before and after each feeding.

 

Start by giving ____ mL per hour over ____ hours.

Increase the rate by ____ mL per hour, every 24 hours, until you reach your goal rate of ____ mL per hour, per day.

Flush your tube with 30 to 60 mL of water before and after each feeding.

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Taking Medication Through Your Feeding Tube

Check with your pharmacist or nurse before you take any medication through your feeding tube. Please review the tube feeding resource your nurse gave you for additional instructions.

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Cleaning Your Equipment

Wash your equipment with a small amount of mild liquid dishwashing soap and warm water. Rinse your equipment well with warm water and allow it to dry before your next feeding.

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Supplies

Please review the tube feeding resource your nurse gave you for instructions.

To order more supplies or formula, contact your home care agency.

Home care agency: ___________________________________________
Telephone: ____________________________

 

Home care agency contact person: ____________________________

Telephone: ____________________________

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Follow-up Care

Your doctor will schedule an appointment for you in the nutrition clinic. If you cannot keep your appointment, please call your doctor at the number below to reschedule:

Dr. Schattner: 212-639-3148
Dr. Shike: 212-639-6984

Dr. Mendelson: 212-639-8152

  • Start to cough at the beginning of or during your feeding. If this happens, stop the feeding immediately.
  • Have a temperature of 101° F (38.3° C) or higher
  • Have diarrhea or constipation
  • Have vomiting, bloating, or stomach cramps
  • Have pain, redness, or drainage at the tube site
  • Are not able to unclog the tube
  • Have dry skin
  • Have decreased urinary output
  • Have excessive thirst
  • Have shortness of breath
  • Feel listless or confused
  • Have swollen ankles, feet, or leg
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Contact Information

If you have any questions or concerns, please call the Clinical Nutrition Office at 212-639-6984 and ask for the outpatient nurse. You can reach the office Monday through Friday from 9:00 am to 5:00 pm. After 5:00 pm, during weekend, and on holidays, call 212-639-2000 and ask for the doctor on call for your doctor.

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