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    Jejunostomy Feeding

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    Adith Fileanugraha
    Jejunostomy feeding provides benefits like maintaining GI structure and function while reducing toxins and bacteria. It has indications for when upper GI feeding is contraindicated or for GI motility disorders. Absolute contraindications include bowel obstructions or inability to absorb nutrients. Complications can be mechanical, gastrointestinal, or metabolic. Proper tube securing, positioning, flushing, and monitoring can prevent mechanical issues while formula selection, rate, and contamination prevention can reduce gastrointestinal complications.

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    Jejunostomy Feeding

    Uploaded by

    Adith Fileanugraha
    8K views13 pages
    Jejunostomy feeding provides benefits like maintaining GI structure and function while reducing toxins and bacteria. It has indications for when upper GI feeding is contraindicated or for GI motility disorders. Absolute contraindications include bowel obstructions or inability to absorb nutrients. Complications can be mechanical, gastrointestinal, or metabolic. Proper tube securing, positioning, flushing, and monitoring can prevent mechanical issues while formula selection, rate, and contamination prevention can reduce gastrointestinal complications.

    Original Description:

    jejunostomy, enteral feeding, gastric cancer, enteral route

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    Jejunostomy feeding provides benefits like maintaining GI structure and function while reducing toxins and bacteria. It has indications for when upper GI feeding is contraindicated or for GI motility disorders. Absolute contraindications include bowel obstructions or inability to absorb nutrients. Complications can be mechanical, gastrointestinal, or metabolic. Proper tube securing, positioning, flushing, and monitoring can prevent mechanical issues while formula selection, rate, and contamination prevention can reduce gastrointestinal complications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    8K views13 pages

    Jejunostomy Feeding

    Uploaded by

    Adith Fileanugraha
    Jejunostomy feeding provides benefits like maintaining GI structure and function while reducing toxins and bacteria. It has indications for when upper GI feeding is contraindicated or for GI motility disorders. Absolute contraindications include bowel obstructions or inability to absorb nutrients. Complications can be mechanical, gastrointestinal, or metabolic. Proper tube securing, positioning, flushing, and monitoring can prevent mechanical issues while formula selection, rate, and contamination prevention can reduce gastrointestinal complications.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    Jejunostomy Feeding

    Benefits
    • Maintains gastrointestinal structure and
    function
    • Reduces translocation of toxins and possibly
    bacteria
    • Less expensive than parenteral nutrition
    therapy
    • Fewer complication than parenteral
    Indications
    • Feeding contraindicated for upper GI tract
    • Gastric motility disorders
    • History / risk of reflux or aspiration
    Contraindications
    Absolute
    • Complete bowel obstruction
    • Severe small bowel ileus with abdominal
    distention
    • Complete inability to absorb nutrients through
    the GI tract
    Contraindications
    Relative
    • Severe postprandial pain
    • Short bowel syndrome
    • Intractable vomiting
    • Severe diarrhea
    Complications
    • Mechanical
    • Gastrointestinal
    • Metabolic
    How to prevent mechanical
    complications?
    • Properly secured jejunostomy tube
    • Head of bed elevated 30  – 45 
    • Pump ensures safe delivery
    • Monitoring gastric residuals
    • Maintain tube patency
    Maintain tube patency
    • Flush regularly, every 3-4 hours with 25 ml
    warm water
    • Use feeding tube only for formula delivery
    • Flush the tube with water before and after
    administering medications
    How to prevent gastrointestinal
    complications?
    • Not attributed to enteral feeding
    – Medical condition
    – Pre existing GI condition which reduces the
    bowels functional capacity
    – Medications
    – Atrophy from lack of use
    How to prevent gastrointestinal
    complications?
    • Related to enteral feeding :
    – Formula composition
    – Administration method (rate and volume)
    • Full strength formula slowly, gravity or infusion pump
    • Continous feeding
    – 25 ml/hour ; 24 hours/dayor during part of the day or night
    – Formula contamination
    Administration
    • Infusion Pump Indications
    – Small intestine feeding
    – Fluid restrictions
    – Risk of aspiration
    – Need for precise flow rate
    – Nocturnal feeding
    – Infants and small children

    • Gravity Infusion Indications


    – Suitable for intermittent feeding
    – Ambulatory patients
    – Gastric feeding
    Prevention of Tube Feeding
    Contamination
    • Recommended formula hang time :
    – 8-12 hours for open systems
    – 24 hours for pre-filled containers
    Summary
    • Enteral nutrition should always be the first
    option considered
    • Use post-pyloric route if gastric access not
    possible
    • Nasogastric route should be used for short
    term feedings
    • Surgical or percutaneous enterostomies
    should be the choice for long term cases and
    for laparotomy patients

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