Enteral feeding gravity set is a method of supplying nutrients directly into the gastrointestinal tract. This guideline will use this term describe Orogastric, Nasogastric and Gastrostomy tube feeding. A wide range of children may require enteral feeding either for a short or long period of time for a variety of reasons including:
Unable to consume adequate nutrients
Facial or oesophageal structural abnormalities
Anorexia related to a chronic illness
Increased nutritional requirements,
Primary disease management.
Enteral feeding gravity set can be used to:
Administer bolus, intermittent feeds and continuous feeds
Facilitate free drainage and aspiration of the stomach contents
Facilitate venting/decompression of the stomach
Stent the oesophagus
Orogastric Tube (OGT) - Thin soft tube passed through a child’s mouth, through the oropharynx, through the oesophagus and into the stomach
Nasogastric Tube (NGT) – Thin soft tube passed through a child’s nose, down the back of the throat, through the oesophagus and into the stomach.
Gastrostomy tube - a feeding tube which is inserted endoscopically or surgically through the abdominal wall and directly into the stomach.
Temporary balloon device (G-Tube) – a gastrostomy tube
Percutaneous endoscopic gastrostomy tube (PEG) – a gastrostomy tube which is held in place with an internal fixator
Gastrostomy-Button (Mickey-Button™) - skin level button gastrostomy tube inserted into a pre-formed stoma.
Gastric Residual Volume (GRV’s) – the amount of fluid aspirated from the stomach via an enteral tube to monitor gastric emptying, tolerance to enteral feeding and abdominal decompression. Once removed it may be returned to the patient or discarded.
Trans-Anastomotic Tube (TAT tube) - Utilised after surgery to repair oesophageal atresia inserted by surgeons in the Neonatal patient population.