FORCED FEEDING

6. METHODS AVAILABLE FOR LONG TERM NUTRITION SUPPORT
1. Nasoenteric tube feeding
2. Gastrostomy tube feeding
3. Jejunostomy tube feeding

6.1 NASOGASTRIC OR NASOENTERIC

Fine bore tubes made of polyurethane or siliconised rubber are
used.
The final position can be checked radiologically.
They are well tolerated with no risk of oesophagecol ulceration or
chest complications.
The patient can learn to insert the tube themself in ambulatory
home entral nutrition.

6.2 GASTROSTOMY

Can be performed by an open surgical procedure when a nasogastric
tube cannot be passed due to an esophageal carcinoma or when
patient is unconscious(fig 5.1)

This procedure can also be done per-coetaneous with the help of
an endoscope (PEG) (Fig 5.2)

6.3 PERCUTANEOUS JEJUNOSTOMY

It is possible to place the tube end in the jejunum through a
percutaneous stab insertion gastrostomy
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