Understanding Jejunal Feeding Tubes

A jejunal feeding tube is a medical device inserted into the jejunum (a part of the small intestine) for direct nutrient delivery. This method is typically used when oral intake is not possible or the stomach cannot process food efficiently. These tubes ensure patients receive essential calories, fluids, and medications safely and effectively.

Common conditions requiring jejunal tube feeding include:

• Severe gastroparesis
• Neurological disorders (e.g., stroke, ALS)
• Pancreatitis
• Upper GI obstructions
• Post-surgical complications

Unlike nasogastric tubes, which pass through the nose, jejunal tubes are often inserted percutaneously or surgically for longer-term use, often under fluoroscopy or endoscopy guidance.

Benefits of Low-Profile Jejunal Tubes

Low-profile feeding tubes, such as the Avanos Mic-Key range, offer significant advantages in long-term enteral care:

• Discreet and Comfortable: These button-style devices sit flush with the skin, making them ideal for daily wear.
• Secure and Safe: Locking mechanisms reduce accidental dislodgment.
• Enfit Compatibility: Enhances patient safety with unique, misconnection-resistant connectors.
• Multiple Size Options: Including 14Fr, 18Fr, and 22Fr variants to suit different age groups and needs.

Procedure, Care, and Maintenance

Proper insertion, care, and monitoring of a jejunal feeding tube are essential to avoid complications such as dislodgement, infection, or clogging.

Insertion Procedure:

• Typically guided by imaging (fluoroscopy or endoscopy)
• Administered under sedation or general anaesthesia
• Placement confirmed via X-ray

Daily Care Includes:

• Flushing the tube regularly (before and after feeds and medications)
• Cleaning the stoma site
• Monitoring for leaks, redness, or irritation

Replacing and Managing Buttons:

Low-profile tubes include button extensions that can wear out over time and need replacement.

Patient Support Tips:

• Use a gentle feeding schedule
• Sit upright for 30–60 minutes post-feeding
• Rotate feeding extension sets regularly

For visual learners, reviewing a jejunal feeding tube picture can help familiarise with setup and expectations.

Safety and Clinical Considerations

Jejunal tube feeding is generally safe, but certain precautions should be taken:

• Risk of aspiration is lower than gastric tubes
• Risk of bowel perforation exists during insertion—hence the need for skilled operators
• Not all patients are suitable candidates—individual evaluation is essential

Professional Recommendations:

According to the Australian Society for Parenteral and Enteral Nutrition (AuSPEN), jejunal feeding is preferred over gastric feeding in patients at high risk for aspiration or with severe gastric motility issues.