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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