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29: Feeding Tubes
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Published:May 2023
Eyal Cohen, MD, MSc, FRCPC, Sanjay Mahant, MD, FRCPC, MSc, "Feeding Tubes", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Feeding tubes are commonly used in children as an alternative means of providing nutrition, hydration, and medications, especially for the patient with a chronic feeding problem. Feeding tube management in such a child is best served by a multidisciplinary team of specialists, including nurses, dietitians, therapists, care coordinators, and equipment suppliers.
There are 2 types of feeding tubes.
Depending on institutional preference, enterostomy tubes are inserted endoscopically, surgically, or percutaneously under fluoroscopic guidance. Examples include gastrostomy tubes (G-tubes), gastrojejunal tubes (GJ-tubes), and jejunal tubes (J-tubes). All of these are indicated for longer-term use (> 8–12 weeks).
Oronasal tubes include nasogastric...
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