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Tube Feeding: Techniques and Procedure

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Geriatric Gastroenterology

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Abstract

Enteral nutrition is the preferred means of nutrient delivery for patients with an intact and functional GI tract. Enteral access can be achieved by various techniques. Percutaneous endoscopic gastrostomy (PEG) is now the technique of choice for long-term enteral feeding and benefits most patients. Each technique involves placement of a gastrostomy tube at a point where the stomach and abdominal wall are in closest contact. PEG is a bedside procedure without general anesthesia. Feeding can begin within 24 h of placement. Major complications (peritonitis, bleeding, perforation, and pulmonary aspiration) occur infrequently. PEG feeding does not improve function, nutrition, or quality of life in patients with dementia. Selection of patients for PEG requires a multidisciplinary team approach.

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Author information

Authors and Affiliations

  1. Department of Gastroenterology, Montefiore Medical Center (North Division), 600 East 233rd Street, Bronx, NY, 10466, USA

    Amit Sohagia MD

  2. Department of Medicine, Division of Gastroenterology and Clinical Nutrition, Montefiore Medical Center (North Division), Bronx, NY, USA

    Hilary I. Hertan MD

Authors
  1. Amit Sohagia MD
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  2. Hilary I. Hertan MD
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Correspondence to Amit Sohagia MD .

Editor information

Editors and Affiliations

  1. Hospital, Department of Medicine, Saint Peter’s University, 254 Easton Ave, New Brunswick, 08901, New Jersey, USA

    C. S. Pitchumoni

  2. (North Division), Department of Medicine, Montefiore Medical Center, 600 East 233rd Street, Bronx, 10466, New York, USA

    T. S. Dharmarajan

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Sohagia, A., Hertan, H.I. (2012). Tube Feeding: Techniques and Procedure. In: Pitchumoni, C., Dharmarajan, T. (eds) Geriatric Gastroenterology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1623-5_13

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  • DOI: https://doi.org/10.1007/978-1-4419-1623-5_13

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-1622-8

  • Online ISBN: 978-1-4419-1623-5

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