We all know that the stomach rules the mind. Eating isn’t just eating energy, it’s an experience. Long-term use of certain drugs or other diseases can affect our sense of taste. This condition is generally temporary. However, if you have trouble swallowing or cannot drink enough by mouth, you may need a feeding tube. You may get one through your nose or mouth for a few days or weeks while you are recovering from an illness. Read on to learn more about feeding tube insertion / gastrotomy.
Conditions that may require insertion of a feeding tube (gastrotomy)
- Cerebral palsy
- Motor neuron disease
What is gastronomy?
Gastrostomy is the placement of a feeding tube through the skin and stomach wall. It goes straight to the stomach. It is used to provide nourishment when you have trouble eating.
Insertion of a feeding tube is also known as a percutaneous endoscopic gastrostomy (PEG), esophagogastroduodenoscopy (EGD), and insertion of a G-tube.
A gastrostomy feeding tube (G-tube) is inserted using an endoscope. Endoscopy gives an insight into the body. A flexible hose was used with a small camera on the end. The endoscope is inserted through the mouth and esophagus, which leads to the stomach.
Anesthetics can be sprayed into your mouth to help cough or choke the urge when the endoscope is inserted. A mouthguard is used to protect your teeth and the endoscope.
This procedure requires you to fast for almost 8 hours. After inserting the endoscope, the skin over the stomach is cleaned and numbed. The cut is made in this area to insert the pipe. The tube is small, flexible and hollow. The feeding tube is secured and a sterile bandage is placed around the site. Body fluids such as blood or pus may drain easily from the wound. The entire process typically takes less than an hour.
This feeding tube can be temporary or permanent, depending on the primary reason for the feeding tube.
Be careful after inserting the feeding tube (gastrotomy):
- Rest until the wound heals
- Have your bandage changed regularly until some fluid comes out of the tubing
- Keep the catering area dry and clean to avoid skin irritation or infection
Why do we need gastronomy?
This treatment is reserved if you are having trouble eating for the following reasons:
- You have an abnormality in your mouth or esophagus: It’s the esophagus that connects your throat to your stomach. It can be inflammation or tumors or removal operations.
- You have difficulty swallowing or holding food: This can be a muscle defect in the esophagus.
- You are not getting enough food or fluids by mouth: The food ingested is insufficient according to the required calories.
- Birth defect: Babies with birth defects of the mouth, esophagus, or stomach, such as esophageal atresia or tracheal esophageal fistula.
Points to Consider Before Deciding to Have a Feeding Tube (Gastrotomy):
Doctors need to know all of the diseases you have along with the medications you are taking. Mention if you are taking blood thinners, aspirin, or clopidogrel. These blood thinners must be stopped a week before the procedure. These drugs can cause excessive bleeding as they cut on the skin.
Other essential conditions that the doctor should know are:
- If you are pregnant
- Do you have diabetes?
- Do you have food or drug allergies?
- All heart diseases
- All lung diseases
Risk factors when introducing feeding tubes (gastrotomy)
- Difficulty breathing and nausea from the medication
- Excessive bleeding in or around the stomach area
- Infection at the insertion site
When to see a doctor after the restaurant?
- The tube comes out
- When the pipe is clogged with food debris
- There is bleeding around the insertion site of the tube
- After a few days the area is drained
- You will see signs and symptoms of infection such as redness, swelling, or a fever
When will the cut to the catering industry heal?
The stomach and abdomen heal in 5 to 7 days. There may be mild to moderate pain that can be treated with medication.
What feed do we give when we have finished catering?
The feeding will gradually transition from clear fluids to full fluids.
Examples of clear liquids:
Water, dal and rice water, sifted fruit and vegetable juices, vegetable or chicken sticks.
Examples of full liquids:
- Commercial feeds: Supplements mixed with milk, soy milk, buttermilk, cottage cheese or water
- Homemade formula: Shredded cooked food, vegetable paste, thin khichdi, minced chicken, shredded dal rice, etc.
Advantages of the trading formula:
- Easy to use
- Easily absorbable
- Have minimal residue
- Exact nutrients as stated on the envelope
- Travel friendly
Disadvantages of the trading formula:
- There is a chance it could get damp if not properly stored
Benefits of the homemade formula:
- Cost efficient
- Mental satisfaction from having a favorite food
- Choice of ingredients to choose from
- Innovative feeds
Disadvantages of the homemade formula:
- Time consuming
- Possibility of clogging the tube
- Hygiene can be the problem
- The consistency can vary each time
- Not travel friendly
- The uptake and availability of nutrients is unknown
Maximum amount and time of feed:
Depending on the calories required and the condition of the disease, the doctor and nutritionist will determine the amount of each feed. It can vary from 150 ml to 300 ml per feed. The frequency of the feed can be every 2, 3 or 4 hours. A total of 3 to 8 feeds can be given throughout the day.
How do I clean the feeding tube after feeding?
After the food has been drained from the tube, pour 50 to 100 ml of sterilized water through the tube. This will clean the remaining food particles in the tube and prevent them from clogging.
A gastronomic feeding tube improves the quality of life of the patient who has difficulty swallowing food. Make the right decision at the right time to get the most benefit. A perfect mix of commercial and homemade feed provides all the nutrients you need and makes life easier.
Read – Indian Fatty Liver Diet Plan, Indian Gallbladder Removal Diet Plan.