Can I Gain My Weight Back With a Feeding Tube for Gastroparesis

By Juliette Soelberg, MS, RD, LDN

Updated by Kimberly Brown, MS, RD/LD

If you are a patient or you know a patient who has a new feeding tube, then you might have a lot of questions — you aren't alone! Finding answers to your initial questions will ease your mind and remind you just how helpful feeding tubes can be!

1. Is there only one type of feeding tube?

There are many different types of feeding tubes, and each one has its own  purpose. One type of feeding tube provides formula into the stomach , and another type of feeding tube can bypass the pyloric sphincter to infuse formula directly into the small intestine . There is even a type of feeding tube that has two  ends, one that goes in the  stomach and one that goes in the small intestine .

Feeding tubes are named by how  they are placed in the body and where  the end of the tube is located  in  the body. For example, if someone has a tube placed through his/her  nose and the end of the tube is located  in  their stomach, it is called a nasogastric tube (" naso " for nose and "gastro" for stomach). If you have a feeding tube that was endoscopically placed and it  is positioned  in the stomach, then it is called a percutaneous endoscopic gastrostomy (or a PEG). Another kind of tube is called a jejun ostomy – the end of this  tube lies  in the jejunum (the second  part of the small intestine).

2. If someone has a feeding tube, will they ever be able to eat "real" food?

There are many different reasons why patients have feeding tubes, and some of these reasons make it difficult or dangerous to eat by mouth . However, this is not the case for everyone. Patients should consult with their doctor and/or a speech language pathologist to determine if swallowing  food  is safe for them. If an individual can eat by mouth safely, then he/she can eat food and supplement with tube feeding  if necessary.  Eating food will not cause damage to the tube, nor does having a feeding tube make it unsafe to eat.

3. Does a feeding tube stay in forever?

Feeding tubes are wonderful tools to help clients  of all ages get the nutrition they need. Often , feeding tubes are placed temporarily to help patients overcome acute illnesses  and/or surgeries. If a patient is going to have a feeding tube for longer than 4 weeks, it is typically recommended to place a more long-term tube , such as a PEG. For some individuals, feeding tubes may be a life-long feeding solution . Especially for those who may have altered GI systems, malabsorption issues, o r a permanent swallowing risk, to name a few.

4. Do you have to stay in the hospital if you have a feeding tube?

Some patients  who have feeding tubes are in the hospital  and  may be very sick. And some individuals with long-term feeding tubes are living at home and can still maintain an active lifestyle. Formula can be provided at a continuous rate (given over 24 hours) or given cyclic rate (e .g., 12 hours overnight). Others may be given a bolus feed, which is a larger amount given at specific times throughout the day. All of these are viable options ,  and the best formula regimen can be determined with the help of a registered dietitian.

5. What type of nutrition can be administered through a feeding tube?

Some patients require special formulas, but many want to consume real food .  Formulas are convenient and helpful to some pat ients , but the options  aren't just limited to formulas for nutrition. A patient can blend up his/her  meal into a thin mixture  and deliver it right into the  feeding tube without any formula. They receive  all  their nutrients from food just like those wh o eat by mouth. Food doesn't lose its nutrition when it's blended, so it's a good option  for those who can tolerate it. Be sure to consult with a registered dietitian, if you are interested in using blenderized  food for your feeding tube.

Food doesn't lose its nutrition when it's blended, so it's a good option for those who can tolerate it. Be sure to consult with a registered dietitian, if you are interested in using blenderized food for your feeding tube.

Juliette Soelberg, MS, RD, LDN works as a clinical dietitian, and her experience ranges from long- and short-term rehab to outpatient counseling to critical care. Kimberly Brown, MS, RD, LD is a clinical dietitian currently working at a 1000+ bed facility in Oklahoma. She has spent a majority of her career working in intensive care, including Level 1 trauma/burn, cardiothoracic, and medical ICU.

Dietitians On Demand is a nationwide staffing and recruiting company for registered dietitians, specializing in short-term, temporary and permanent-hire positions in acute care, long term care and food service positions. We're dedicated to dietitians and helping them enhance their practice and excel in the workplace. Check out our job openings, request your coverage, or visit our store today!

Can I Gain My Weight Back With a Feeding Tube for Gastroparesis

Source: https://dietitiansondemand.com/top-5-questions-and-misconceptions-about-feeding-tubes/

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