Enteral feeding devices and ostomies

Abstract

Children and adolescents with inflammatory bowel disease (IBD) often suffer the consequences of malnutrition and growth failure. Enteral nutrition as a therapy has been discussed prior to this chapter. Enteral access either via nasogastric tube (NGT) feedings or direct enteral access via a gastrostomy tube (G-tube) is an option for children with inflammatory bowel disease. Once it is clear that a patient requires supplemental calories to support growth and development, a trial of feedings via NGT is often done prior to more invasive percutaneous feeding tube placement. The trial of NGT feedings demonstrates tolerance of supplemental enteral formula and allows the patient and family to become familiar with the feeding delivery system, particularly the feeding bag setup and the pump. It is essential that families are educated regarding NGT placement, feeding administration, and maintenance of the tube and equipment.