A entity hold a esophageal cancer, why would the doctor insert a tube contained by the doudenum instead of the stomach?
is that because the stomach can reverse the food to the esphagos, and create a problem in breathing?
Answers:
They place the tube surrounded by the duodenum for several reasons.
First, if the tube is bygone the stomach and in the duodenum, the feedings cannot be refluxed backwards into the esophagus which cause problems with aspiration pneumonia and reflux esophagitis to an already undermined esophagus Gastric feedings are harder to tolerate for the pt than j tube or other type feedings.
Secondly, if the tube is in the duodenum, it take the stomach out of the digestion process and prevents nausea for a cancer pt who has already be unbelievably sick to their stomach.
Thirdly, the tube is in the duodenum to increase the prospect the nutrients will be processed thru the small intestine and not thrown up before it get there.
Radiation and chemotherapy form people increadibly sick sometimes, so the odds of tolerating g tube feedings are less if you purloin them into the stomach vs the duodenum.
I personally prefer jejunostomy feedings which are even lower surrounded by the intestinal track.
Prayers for you and your sick relative.
RN in Oncology for several years.
The duodenum of the small intestine is where a majority of incorporation takes place. The stomach a moment ago basically breaks substances down so that they can be spellbound once they get into the small intestine.
A lot of the nutritional supplements for feed tubes are made to go directly to the duodenum. Also, if it is esophageal cancer, that nouns should be as free of tubes as possible in shield radiation treatment is ordered. There are many areas for placements of tubes and sometimes the singular reason that a doctor uses a consistent placement is the doc's personal preference.
The feed tube should be in the duodenum to avoid aspiration into the lungs within case of vomiting. You are correct within that notion.
Typically these are placed through the abdominal wall and into position. A tube placed down the esophagus and into the stomach still has a kismet of aspiration because the lower esophageal sphincter is not completely closed (because of the tube present).