Question

Nasoduodenal tube feeding is not common because:

Select one:

a. the tube is likely to move and curl up in the stomach

b. the tube can move down into the lower intestine

c. the tube can get lost and end up in the colon

d. it's not a common hospital procedure

e. none of the above

Answer 1

Enteral feeding tube is the preferred method of enteral nutrition in patients with a healthy and functioning digestive tract, but unable to eat adequately via mouth.

The six types of enteral feeding tubes are:

1. Nasogastric tube

2. Orogastric tube

3. Nasoenteric tube (nasojejunal and nasoduodenal tubes).

4. Oroenteric tube

5. Gastrostomy tube

6. Jejunostomy tube

Correct answer to question - option a

Rationale

Nasoduodenal tubes has been used in the past, but it is no longer commonly used in most hospital because

1. A nasoduodenal tube can move back and curl up in the stomach.

2. This feeding stimulates secretions from pancreas.

3. The formula may flow into the stomach due to duodenogastric reflux . Hence , intraduodenal feeding is contraindicated in clients with recurrent aspiration and severe pancreatitis, which are the most frequent conditions for postpyloric nutrition support.

Option b is incorrect – Because the tube cannot move down into the lower intestine

Option c is incorrect – reason is same as above

Option d is also wrong – it is not a routine hospital procedure nowadays since cumulative experience has revealed that the nasoduodenal feeding raises concerns due to various reasons mentioned above.