Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases

Eric Esrailian, MD, MPH

Chapter 8: Feeding Tubes Placement And Management For The Clinician (continued)

Stanley Dea, MD

Nasogastric (NG) tubes are often used as the initial route of enteral feedings. Although Salem Sump tubes (Covidien, Mansfield, MA) are commonly used for feedings, the risk of nasal irritation and sinusitis make them a poor choice for long-term feeding. Tubes specifically designed for feeding come in different lengths and sizes. The shorter (36-inch) and wider (16F) tubes are softer than Salem-Sump tubes but can still be uncomfortable. The longer (45-inch) small-bore (8F) tubes are more comfortable and can provide postpyloric or duodenal feeding for patients with gastroparesis. Patients who…