What are the indications and contraindications for nasogastric feeding?
May 15, 2023
Source: Cainiu Health
Dr. Zhou Chao
Introduction
Indications for nasogastric feeding include coma and difficulty opening the mouth. Contraindications include high intestinal fistula, short bowel syndrome, and patients after esophageal surgery. In addition, contraindications also include patients with lower esophageal varices, esophageal obstruction, or nasal deformities. Before undergoing nasogastric feeding, it is recommended to visit a hospital for medical evaluation and, based on individual circumstances, make an informed decision under a doctor's guidance.
Generally, the indications for nasogastric feeding include coma and difficulty opening the mouth, while contraindications include high intestinal fistula, short bowel syndrome, and patients after esophageal surgery. Detailed analysis is as follows:
I. Indications
1. Coma
Nasogastric feeding typically refers to providing nutrition via a nasogastric tube to patients who cannot eat orally, ensuring adequate intake of protein and calories, and helping protect the gastrointestinal tract from damage caused by prolonged fasting. Nasogastric feeding involves inserting a feeding tube through the nostril into the stomach and infusing liquid food to provide nutritional support; therefore, it is suitable for comatose patients.
2. Difficulty Opening the Mouth
Patients with oral diseases causing difficulty in opening the mouth, or those with increased muscle tone leading to limited mouth opening, are generally suitable candidates for nasogastric feeding.
II. Contraindications
1. High Intestinal Fistula
Nasogastric feeding is generally not recommended for patients with a high intestinal fistula, as the nutritional fluid may leak out through the fistula site.
2. Short Bowel Syndrome
For patients with significantly shortened small intestine, this method should not be used to provide nutrition because the shortened intestine cannot adequately absorb or utilize nutrients.
3. Patients After Esophageal Surgery
After esophageal surgery, trauma exists in the esophagus. Performing nasogastric feeding at this stage may lead to discomfort or complications.
In addition to the above, other contraindications for nasogastric feeding include patients with lower esophageal varices, esophageal obstruction, or nasal cavity deformities. Prior to initiating nasogastric feeding, it is recommended to consult a physician at a hospital and make decisions based on individual health conditions.
