Enteral feeding is the delivery of a nutritionally complete feed, containing protein, carbohydrate, fat, water, minerals and vitamins, directly into the stomach, dudodenum or jejunum.
Tube feeding plays a major role in the management of patients with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction and in patients who are critically ill.
Home enteral feeding should be considered for malnourished patients or in those at risk for malnutrition who have a functional gastrointestinal tract but are not able to maintain adequate or safe oral intake. The most common patients are those who suffer from the following:
Short term access is typically achieved using nasogastric (NG) or nasojejunal (NJ) tubes at an initial continuous feeding rate of 30 mls per hour. Percutaneous placement should be considered if feeding is planned for longer than one month.
When you come in for your procedure you will either have local anesthesia with sedation, or general anesthesia – whatever you and your interventional radiologist (IR) have discussed. You will be asked not to eat or drink anything for at least 6 hours prior to the procedure.
The doctor will look at your belly with ultrasound and x-ray images to identify the best place for your feeding tube. Your stomach will be filled with air to expand it and assist in the procedure. The IR will numb your skin and place 2-3 special clips to fasten the stomach up against the abdominal wall; these can be removed 7 – 10 days after the treatment.
Finally, the tube will be inserted directly through the skin and into the stomach. An inflated balloon on the end of the tube will help keep it in place.
A gastrostomy tube allows for feeding directly into the stomach, however this does not work for all patients, and in some cases placing a longer tube through the stomach and into the intestine is a better option.
Feeding tube placement/removal is typically performed as an outpatient procedure and lasts less than an hour. After your treatment you will rest in a recovery area for a while before you are sent home. The nurse will instruct you on how to use and care for your feeding tube. You will be able to start using the tube a day or so after your procedure.
While this procedure is safe and effective, in some cases there are complications. Call your doctor immediately if you experience any of the following:
Some patients get better and do not need their feeding tube anymore. Once your doctor determines it is safe to remove the tube you will be scheduled for a quick removal procedure.
Removing the tube is simple and relatively painless. The doctor will deflate the balloon holding the tube in place. Once the tube is removed safely, a dressing will be placed over the hold because it may leak a bit at first. The hole will heal on its own over time.
Whether or not you are a candidate for a feeding tube will depend on your diagnosis and consultation with your interventional radiologist. Call IVC today at 503-612-0498 to schedule an appointment for a consultation.
This is for Dr. Pfister. I just wanted to thank him for all the time he spent with us the other week. In all the years I’ve had my vascular problems I’ve never had a doctor really sit down and explain to me the intricacies of what might be going on. I have a lot to think about…but just wanted to say thanks for being so nice and answering our many questions!L.H.
A fantastic group of wonderful people. The procedure was very smooth. When they were putting the port in I felt like I was getting a great massage!! Thank you all!S.C.
Charley was instrumental in getting me scheduled in quickly to get my PICC line removed. She actually worked until late in the day to get the information from my referring doctor’s office. It is nice to know great people like Charley still exist in this world!K.S.
I had my blood clot filter removed on 2/21/18. I was very apprehensive, yet EVERYONE in Dr. Pfister’s office and surgical team helped to make me comfortable. I am extremely claustrophobic so laying down or having something covering my face creates anxiety. Mary Anne listened to my concerns and made sure I was made comfortable and did not feel anxious. The surgical team was amazing, they explained everything thoroughly. Dr. Pfister came in after the procedure to review what he did and discuss any follow up that might be required. I so appreciate the time and attention he gives me as his patient. This was a positive experience.G.H.
110% Thank You! Best unit so far in my cancer treatment. Thanks Dr. LoveAnonymous
If you ever need an Interventional Radiologist for a child I realize it is serious business. I’ve seen Dr. Love go and save a child’s kidney without missing a beat. I could recommend no one better for myself, or for people I love. I think he is a little cool at the bedside, but that’s OK Dr. Love, stay frosty! If you can’t see Dr. Love, one of the other professionals at IVC will be able to help you. Ashley, the dynamite scheduler and one of the other surgeons at IVC will care for you. I’ve had multiple surgeries with this practice over the past several years. Never a hiccup!S. R. – Portland, OR
Great experience, doctor was thorough in explaining what was going to happen. The nurses were very attentive and made sure I was comfortable and my needs were met. I would recommend this office for any related procedure.Anonymous
Everything went very smoothly. Joe enjoyed the music. Very friendly staff! Good Experience!J. & E.
All staff was courteous and efficient. Good experience.J. J.
Dr. Pfister, thanks so much for your excellent care, removing my chemo port earlier this week. With all your experience and your fine touch, I’m confident the scar will be nearly invisible. Your team, from beginning to end, did a super job with me. Please extend my gratitude to Jennifer, Mary Anne, Todd and Charley. I’ve got a whole lot of living left to do. I appreciate all of you helping me do it!M. F.
Dr. Pfister, thank you for all of the attention you gave to me. I learned lots from our discussion – hearing you speak of ultimate healing was enough to encourage me to do all I can to strengthen those muscles.S. O.
The entire office is one of the most professional, helpful and informative medical offices I have dealt with (and I have dealt with many). Kudos to Jennifer, Henry, and Charley!K. C.
Great people. Great place. Good surgery.G. G.
Patty, Mary Anne and the whole staff was amazing! Best experience I’ve had since being diagnosed with cancer. From start to finish, was great. Thanks.M
My brother came into Legacy Meridian Park, had a stroke. Dr. Bauer came in immediately, in his work jeans and shirt. He worked with Neurologist Dr. Burbank, developed a plan and took my brother into a procedure where they removed the clot from his head! Very down to earth doctor, explained procedure to family, worked with sense of urgency.J. P.
I want to comment regarding Dr. Bauer of how he was thorough explaining my CT Biopsy and showing me how on the computer he would get the tissue needed. In all the years of several surgeries I have never felt better going in to have a procedure done. His bedside manner was incredible. I wish all doctors were like Dr. Bauer. Thank you for preparing and relaxing me prior to the biopsy.R.S. Molalla OR
Everyone did a superb job taking care of me and doing the procedure. Thank You AllK.S.
Dr. Bauer genuinely cares about his patients and strives to make sure they understand every aspect of their treatment.A. L.
Dr. Bauer, our family wants you to know how thankful we are to you for saving G.P.’s life and bringing him back to us in normal health. Thank you over and over you are the best!Family of G. P.