Enteral Feeding

Question 1

Definition of Enteral Feeding

Answer 1

Delivery of nutrition (specialised liquid formula or human breast milk) into the gastrointestinal tract (stomach, duodenum, jejunum) via a tube, catheter or stoma that delivers nutrients distal to the oral cavity

Question 2

Stoma

Answer 2

Small opening in the abdomen which is used to remove body waste, such as faeces and urine into a collection bag.

Question 3

Duodenum

Answer 3

First part of the small intestine

Question 4

Jejunum

Answer 4

Middle part of the small intestine

Question 5

Parenteral Feeding

Answer 5

Feeding intravenously (outside the digestive tract) 
- Bypasses the entire gastrointestinal tract

Question 6

When would a nasal feeding tube be used?

Answer 6

Short term pts (4-6 weeks)

Question 7

When should a PEG be used

Answer 7

When it is required for longer term

Question 8

What does PEG stand for?

Answer 8

Percutaneous endoscopic gastronomy

Question 9

Where is a PEG placed?

Answer 9

Inserted through the skin and stomach wall directly into the stomach

Question 10

What is the difference between a narrow bore and wide bore NGT and benefits of narrow bore.

Answer 10

A wide bore is used if drainage is needed, otherwise a narrow bore is used.

• Narrow bore is a feeding tube with a guage less than 9
• Causes less discomfort and less risk of irritation to nose and pharynx

Question 11

Pros and cons of NGT

Answer 11

Pros - non invasive insertion
Cons - Prone to dislodgement/ accidental or intentional removal
- Requires close monitoring
- Blocks easily