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Enteral feeding tubes for preterm infants may be placed in the stomach (gastric tube feeding) or in the upper small bowel (transpyloric tube feeding) It is recommended feeds should be stopped at least 2 hours prior to insertion to aid stomach motility and prevent vomiting. There are potential advantages and disadvantages to both routes.

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Five of the studies reviewed the use of nasojejunal feeds, which is not a routinely used method of transpyloric feeding Do not use the pvc (short term) feeding tubes for transpyloric placement as these need to be replaced weekly Most studies did not have a uniform approach of initiating and advancing feeds.

Jejunal feeding is the method of feeding directly into the small bowel

The feeding tube is passed into the stomach, through the pylorus and into the jejunum Enteral (transpyloric) nutrition is physiologic and may reduce the incidence of bacterial translocation Transpyloric feeds are safe and may be better tolerated than gastric feedings due to impaired gastric motility during illness. The feeds must be run at a slower rate because they bypass the sphincter that regulates the flow of formula into the intestine.

A trained practitioner inserts the nasoduodenal or nasojejunal tube because of the risk for misplacement and potential for perforation in tubes requiring a stylet. Compare and contrast the indications, uses, and limitations of various types of feeding tubes, including ng, nj, g, gj, and j tubes Discuss the benefits of short term enteral feeding compared to intravenous fluid or parenteral nutrition use.

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