Guest guest Posted July 15, 2004 Report Share Posted July 15, 2004 Where is the FT placed? Beyond the pouch? Sandi Birch, RD LD EIRMC, Idaho Falls neilandsandi@... tube feeding > Hello, > > I was wondering if anyone has any experiance with tube feedings and gastric > bypass patients. Currently our surgeons write the orders and do not consult > us for tube feedings and I often disagree with what they order, Isosource HN > 50 cc/hr at 1/2 strength is pretty typical. Is it necessary for all gastric > bypass patients to have half strength tube feedings. Shouldn't we be trying > to increase their nutritional status under stress. If anyone has any good > research articles, I looked and couldn't find much or personal experiance > with this, it would be greatly appreciated. > > Thank you in advance you can email responses to kathryn.mcbride@... > > > > Kate McBride RD, LD > Clinical Dietitian > Mail route 11117 > 800 E. 28th Street > Minneapolis, MN 55407 > 612-863-8631 > kathryn.mcbride@... > > _________________________________________________________________ > MSN Toolbar provides one-click access to Hotmail from any Web page - FREE > download! http://toolbar.msn.click-url.com/go/onm00200413ave/direct/01/ > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2004 Report Share Posted July 16, 2004 I work in acute care, and I had asked a bariatric surgeon, & he told me that the tip of the feeding tube is placed in the OLD part of the stomach, not the new pouch. (Because of that, new tube feeders can start on full strength formula.) Dianne Kiyomoto, RD Fresno, CA ============================================================================= From: " Neil and Sandi Birch " <festus@...> Subject: Re: tube feeding Where is the FT placed? Beyond the pouch? Sandi Birch, RD LD EIRMC, Idaho Falls neilandsandi@... ============================================================================== From: " Kate McBride " <mcbridekate@...> Subject: tube feeding Hello, I was wondering if anyone has any experiance with tube feedings and gastric bypass patients. Currently our surgeons write the orders and do not consult us for tube feedings and I often disagree with what they order, Isosource HN 50 cc/hr at 1/2 strength is pretty typical. Is it necessary for all gastric bypass patients to have half strength tube feedings. Shouldn't we be trying to increase their nutritional status under stress. If anyone has any good research articles, I looked and couldn't find much or personal experiance with this, it would be greatly appreciated. Kate McBride RD, LD Clinical Dietitian Mail route 11117 800 E. 28th Street Minneapolis, MN 55407 612-863-8631 kathryn.mcbride@... __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2004 Report Share Posted July 20, 2004 No patient should have 1/2 strength feedings. That's archaic. In fact, adding water directly to a tube feeding can result in increased microbial growth. If you read about applying HACCP to tube feedings it will tell you that nothing should be added directly to the tube feeding and that all additives should be done via the Y-port of the feeding tube. Kathy Hill tube feeding Hello, I was wondering if anyone has any experiance with tube feedings and gastric bypass patients. Currently our surgeons write the orders and do not consult us for tube feedings and I often disagree with what they order, Isosource HN 50 cc/hr at 1/2 strength is pretty typical. Is it necessary for all gastric bypass patients to have half strength tube feedings. Shouldn't we be trying to increase their nutritional status under stress. If anyone has any good research articles, I looked and couldn't find much or personal experiance with this, it would be greatly appreciated. Thank you in advance you can email responses to kathryn.mcbride@... Kate McBride RD, LD Clinical Dietitian Mail route 11117 800 E. 28th Street Minneapolis, MN 55407 612-863-8631 kathryn.mcbride@... _________________________________________________________________ MSN Toolbar provides one-click access to Hotmail from any Web page - FREE download! http://toolbar.msn.click-url.com/go/onm00200413ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 20, 2004 Report Share Posted July 20, 2004 I agree. RE: tube feeding No patient should have 1/2 strength feedings. That's archaic. In fact, adding water directly to a tube feeding can result in increased microbial growth. If you read about applying HACCP to tube feedings it will tell you that nothing should be added directly to the tube feeding and that all additives should be done via the Y-port of the feeding tube.Kathy Hill-----Original Message-----From: Kate McBride [mailto:mcbridekate@...]Sent: Thursday, July 15, 2004 5:17 PM Subject: tube feedingHello,I was wondering if anyone has any experiance with tube feedings and gastric bypass patients. Currently our surgeons write the orders and do not consult us for tube feedings and I often disagree with what they order, Isosource HN 50 cc/hr at 1/2 strength is pretty typical. Is it necessary for all gastric bypass patients to have half strength tube feedings. Shouldn't we be trying to increase their nutritional status under stress. If anyone has any good research articles, I looked and couldn't find much or personal experiance with this, it would be greatly appreciated.Thank you in advance you can email responses to kathryn.mcbride@...Kate McBride RD, LDClinical DietitianMail route 11117800 E. 28th StreetMinneapolis, MN 55407612-863-8631kathryn.mcbride@..._________________________________________________________________MSN Toolbar provides one-click access to Hotmail from any Web page - FREE download! http://toolbar.msn.click-url.com/go/onm00200413ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2004 Report Share Posted September 10, 2004 We currently have a patient in ICU on the ventilator who had gastric bypass surgery 4-6 months ago and our physician is wondering if we can put a feeding tube into the stomach pouch to feed her or if it needs to be placed down further. We have not had a patient with a recent history of bypass surgery who needed tube feedings before. I have one reference that mentions needing to feed into the distal stomach if enteral access is possible but I would appreciate knowing what your experience has been and if you have any references for tube feedings after bariatric surgery. Quote Link to comment Share on other sites More sharing options...
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