Re: tube feedings

[Guest guest]

GBP patients can also have the tube placed in the remnant stomach... i haven't come across a case for sleeve patients, but i'd imagine j-tube may be the best option given volume issues.

From: Hosier, <hosierj@...>Subject: tube feedings" " < >Date: Thursday, August 11, 2011, 6:41 PM

I have a question regarding tube feedings with the different surgeries. I have been told that RNY patients typically have the tube fed into the jejunum, but what about DS and sleeve patients? Would they have the feeding tube placed in the pouch, or further into the jejunum as well?

Jen Hosier, RD, LD

Registered Dietitian Bariatric Nutrition

Member ASMBS

St. Luke's Boise Medical Center

208-381-1519

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[Guest guest]

Jen

Here at Methodist Hospital in Omaha Nebraska we have one surgeon who does the RNY/DS and he always places a j-tube. Our other surgeon does the sleeve, Lap band placement and a Lap RNY/DS and he does NOT place any tubes.

Hope that helps.

Anne

Anne Yost

Nebraska Methodist Health System

Methodist Hospital

8303 West Dodge Road

Omaha, NE 68114

(402) 354-8747

[Guest guest]

We have fed GBP patients who are a few years out into their pouch with a high protein, 1.0 kcal/ml formula with very good success.  It is helpful if the patient is able to give subjective signs of fullness.  However, if you are relying on gastric residuals, remind staff that their standards of 300-500 ml cut off for GRV would be too high for a GBP patient.  Duod switch can easily be fed into the stomach with a high protein formula.  From: [mailto: ] On Behalf Of JooSent: Friday, August 12, 2011 5:35 AM Subject: Re: tube feedings GBP patients can also have the tube placed in the remnant stomach... i haven't come across a case for sleeve patients, but i'd imagine j-tube may be the best option given volume issues.From: Hosier, <hosierj@...>Subject: tube feedings " " < >Date: Thursday, August 11, 2011, 6:41 PM I have a question regarding tube feedings with the different surgeries. I have been told that RNY patients typically have the tube fed into the jejunum, but what about DS and sleeve patients? Would they have the feeding tube placed in the pouch, or further into the jejunum as well? Jen Hosier, RD, LDRegistered Dietitian Bariatric NutritionMember ASMBSSt. Luke's Boise Medical Center208-381-1519 mg.slrmc.org made the following annotations--------------------------------------------------------------------- " This message is intended for the use of the person or entity to which it is addressed and may contain information that is confidential or privileged, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this information is strictly prohibited. If you have received this message by error, please notify us immediately and destroy the related message. " ---------------------------------------------------------------------