Enteral and Parenteral nutrition

Question 1

What is enteral feeding?

Answer 1

Uses GI tract

Question 2

What is parental feeding?

Answer 2

Doesnt use GI tract, eg venous

Question 3

What is this?

Answer 3

Percutaneous endoscopic gastrotomy (PEG) tube

Question 4

Name some indications for PEG feeding/

Answer 4

Head and neck cancer

MS

MND

Stroke

Can’t tolerate NG tube

Question 5

What are some relative contraindications for a PEG?

Answer 5

Unlikely to survive >3 days

Coagulopathy

Gastric varices

Ascites

Question 6

What are some absolute contraindications for a PEG?

Answer 6

Can’t tolerate gastroscopy

No stomach

Question 7

What is this?

Answer 7

NasoGastric (NG) tube

Question 8

What are some indications for an NG tube?

Answer 8

Aspiration

Short term bypassing of mouth/oesophagus

Administering contrast to GI tract

Question 9

What are some complications of being PEG fed?

Answer 9

Peritonitis

Aspiration pnemonia

Leak/Infection

Ileus

Haemorrhage

Question 10

What are two methods of parenteral nurition?

Answer 10

PICC (Peripherally inserted central catheter)

Hickman Line (tunnelled)

Question 11

What are some indications for Total Parenteral Nutrition (TPN)?

Answer 11

• Mucositis secondary to chemo
• Severe pancreatitis
• IBD
• Post op
• Swallowing difficulties
• Mobility disorders eg scleroderma
• Intestinal atresia
• IBD
• Radiation enteritis
• Swallowing difficulties