Introduction

Gastrointestinal intubation is inserting of

rubber or plastic tube into the stomach ,

duodenum or intestinal
The tube inserted through mouth .nose , or

abdominal ( gastrostomy .jejunostomy )

The tube short , medium , long

Types of Tubes
Short- Nasogastric tube

Introduced from the nose to the stomach

Levin and Gastric (Salem) Sump Used to remove gas and fluid from the

upper GI tract or to obtain a specimen of gastric contents Sometimes used for medications or feedings ( gavage )

Levin Tube
Single Lumen (hollow part of tube) Size 14-18 French Made of plastic or rubber with opening near

tip
It is 125 cm long Circular markings on the tube serve as

insertion guides

Gastric (Salem) Sump

Gastric sump tube ( salem. Ventrole) Double lumen catheter .clear plastic

Plastic, 12-18 FR.

It is 120 cm long Used to decompress the

stomach, keeps it empty

 Smaller, inner tube (blue pigtail) vents the larger

suction-drainage tube to the atmosphere by way of an opening at the distal end of the tube.
Keeps the suction force at the drainage openings at less

that 25 mm Hg to prevent capillary irritation.

Connected to low continuous suction. Vent lumen kept above the clients waist.

Medium tubes.
Medium length- nasoenteric used for feeding.

Example- Dobhoff Placed in the duodenum or jejunum by fluoroscopy (x-ray dept) or at clients bedside. Verified by x-ray before feedings begin. May take up to 24 hrs. to pass through the stomach into the intestines. Place client on right side to facilitate passage

Long- nasoenteric tubes.

Long- nasoenteric tubes introduced through the nose and

passed through the esophagus and stomach into the intestinal tract.
Used to aspirate intestinal contents-ie. gas and fluid
Used to (Decompression) to prevent intestinal obstruction. Due to peristalsis, prevents vomiting, reduces tension at the

incision line and prevents obstruction.

Summary
A nasogastric tube is used for feeding and administering

drugs and other oral agents such as activated charcoal. For drugs and for minimal quantities of liquid, a syringe is used

for injection into the tube. For continuous feeding, a gravity

based system is employed, with the solution placed higher than the patient's stomach. If accrued supervision is required

for the feeding, the tube is often connected to an electronic

pump which can control and measure the patient's intake and signal any interruption in the feeding.

References

Thomsen TW, Shaffer RW, Setnik GS. (2006). "Videos in clinical medicine. Nasogastric intubation". N Engl J Med 354 (17): e16. doi:10.1056/NEJMvcm050183.PMID 16641390.

Jump up Thomas B, Cummin D, Falcone RE. (1996). "Accidental pneumothorax from a nasogastric tube". N Engl J Med 335 (17):

1325.doi:10.1056/NEJM199610243351717. PMID 8992337.

Jump up^ Cincinnati Children's Hospital Medical Center (2009). "Best evidence statement (BESt). Confirmation of nasogastric tube placement in pediatric patients.". National Guidelines Clearing House: 11.

Jump up^ Quilliot, D.; Zallot, C.; Malgras, A.; Germain, A.; Bresler, L.; Ayav, A.; Bigard, M. -A.; Peyrin-Biroulet, L. et al. (2013). "Self-Insertion of a Nasogastric Tube for Home Enteral Nutrition: A Pilot Study". Journal of Parenteral and Enteral Nutrition.doi:10.1177/0148607113502544. PMID 24142673