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Unformatted text preview: Percutaneous Endoscopic Gastrostomy General anesthesia unnecessary Less costly Less procedure-related morbidity Earlier feeding Surgical Gastrostomy (G-tube) Requires general anaesthesia If PEG precluded If placed during surgery for decompression Jejunostomy Tube Indications High risk of aspiration Major abdominal surgery Esophageal, gastric, pancreatic or hepatobiliary complications Can be used early after surgery May require elemental formula Needle Catheter Jejunostomy (NCJ) Implanted during surgery No stoma needed Used within 4 hrs post-op Temporary; easy to remove Selecting Tube Feeding Formula Patient issues Medical condition Nutrient needs Gastric emptying Digestive and absorptive capacity Metabolic abnormalities Formula issues Physical properties Ingredients/Nutrient content...
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- Spring '08