OnCo
termsTerm

Feeding tube (gastrostomy, PEG, jejunostomy)

aka gastrostomy, PEG tube, jejunostomy, nasogastric tube, enteral feeding

A tube placed into the stomach (gastrostomy, PEG) or small bowel (jejunostomy) so a patient who cannot swallow enough can still be fed through the gut.

Head and neck chemoradiation, oesophageal cancer and major upper-GI surgery often make eating impossible for weeks. A percutaneous endoscopic gastrostomy (PEG) is placed through the abdominal wall under endoscopy; a feeding jejunostomy is often placed at oesophagectomy. Enteral feeding is preferred over intravenous nutrition whenever the gut works, because it keeps the intestinal barrier healthy and costs less. Prophylactic versus reactive tube placement in head and neck cancer remains debated because tubes can prolong swallowing disuse.

Category
Procedures

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