SpeechPathology.com Phone: 800-242-5183

Aya Education - February 2024

Children and Feeding Tubes

Children and Feeding Tubes
Jennifer Dahms, MS, CCC-SLP, BCS-S
July 27, 2016


Today we are going to discuss some basic information on feeding tubes with the pediatric population. This information is a background about working with children with feeding tubes. Our objectives include: 

  1. You will be able to list five alternative means for nutrition and hydration. 
  2. You will be able to list three complications that can arise from tubes and tube feedings. 
  3. You will be able to list three steps in the process of transitioning a child from tube feedings to oral intake.

History of Feeding Tubes

Let's review the history of tube feedings. I am going to refer you to the Chernoff article from 2006 that's listed in the references. It's a very interesting article describing how tube feedings have progressed over the many, many years that they've been utilized.

The use of feeding tubes dates back to ancient Greece and Egypt.  You can imagine how rudimentary those tubes must have been at that time based on what we now know about the whole gastrointestinal system.

When there was an option to do an NG tube or a G-tube, NG tubes were initially favored because there were too many difficulties occurring with G-tubes when the procedure was first developed. Then in the 1940's there were more formulas being developed to meet the specific needs of children, and people in general, for their tube feedings.

Types of Feeding Tubes

Let's review some of the types of feeding tubes that we might come across working with pediatric patients.

Central Line/TPN

The first one is TPN, total parenteral nutrition, or also called a central line. This type of feeding system is going to bypass the gastrointestinal system. Often, it is used with children who are experiencing surgeries in their gastrointestinal system or may be going through chemotherapy and have a lot of nausea and vomiting. They aren't able to keep food down. The goal is always to resume gastric feeding, go back to regular feedings and not stay on TPN for a long period of time. There can be a risk of infection at the catheter site.  

A TPN is usually a central line. However, there could be peripheral placement of the catheter as well. This type of feeding is specialized solutions of proteins, glucose, lipids, vitamins and minerals.  Because the solution is not delivered via the gastrointestinal system, a child could still experience hunger since nothing is going into their stomach at that time. However, their nutritional needs are being met with this type of feeding.

Orogastric Tube

The second type of feeding tube is the orogastric tube. From this point forward we are only going to discuss enteral tube feedings, tubes that are introduced into the gastrointestinal system. This is also considered to be a short-term solution to feeding problems.

A tube is going to be passed from the mouth into the stomach.  The tube is inserted, the feeding will be completed and then the tube will be removed. When an orogastric tube is in place, a child cannot complete oral feedings at that time because the tube is blocking tongue movement for swallowing. With all of the gastrointestinal tubes we will discuss, it's very normal to flush the tubes with water after a child has received a feeding or if they received medications via that tube.

jennifer dahms

Jennifer Dahms, MS, CCC-SLP, BCS-S

Jennifer Dahms is a pediatric speech therapist in Boise, Idaho.  She received her bachelor’s and master’s degrees from the University of Wisconsin – Milwaukee.  She has worked in pediatric outpatient clinics and Birth-to-Three programs in both Wisconsin and Idaho and currently has her own private practice, Valley Pediatric Feeding, LLC.  Jennifer has dedicated her continuing education and professional focus on pediatric dysphagia and has presented at state and regional conferences, as well as numerous times with speechpathology.com.  She has received ASHA’s ACE award in 2010, 2011, and 2013 and 2015.  Jennifer earned the Board Certified Specialist in Swallowing and Swallowing Disorders distinction in August 2011.

Related Courses

Thickened Liquids in Clinical Practice: The Plot “Thickens”
Presented by Angela Mansolillo, MA, CCC-SLP, BCS-S
Course: #10497Level: Intermediate1 Hour
Clinicians who utilize thickened liquids in their clinical practice are aware of their benefits, but what about the risks and contraindications? Advantages and disadvantages of thickened liquids are reviewed in this course with a focus on clinical outcomes, including impacts on medication administration, lung health, and hydration. Product types are evaluated to facilitate appropriate choices for individual clients.

Dysphagia in Neurodegenerative Disease
Presented by Debra M. Suiter, PhD, CCC-SLP, BCS-S
Course: #9732Level: Intermediate1 Hour
Dysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.

20Q: In the Thick of It - The International Dysphagia Diet Standardization Initiative (IDDSI)
Presented by Jennifer Raminick, MA, CCC-SLP, BCS-S, Danielle Ward, MA, CCC-SLP
Course: #10756Level: Intermediate1 Hour
The importance of using IDSSI to provide standardized language when speaking about texture modification is discussed in this course. Comparisons of IDDSI and the National Dysphagia Diet (NDD), as well as IDDSI standards for pediatric vs. adult patients are presented. Additionally, potential barriers, solutions, and frequently asked questions related to implementation of IDDSI are described.

Back to Basics: Swallow Screening: How, when, and who
Presented by Angela Mansolillo, MA, CCC-SLP, BCS-S
Course: #8969Level: Introductory1 Hour
Screening of swallow function is a well-regarded tool to identify individuals who are potentially at risk of dysphagia and in need of full swallow assessment, but the options are many and varied. This "back to basics" course will teach participants to make informed, evidence-based choices regarding appropriate screening tools specific to their particular patient populations and settings.

ALS: Medications and Oral Care
Presented by Denise Dougherty, MA, SLP
Course: #8717Level: Intermediate1 Hour
This is Part 1 of a three-part series on amyotrophic lateral sclerosis (ALS). This course will identify medication and complementary alternative medicine that may be used by patients to treat ALS. The importance of saliva management and mouth care as a critical component of their daily care will be discussed, along with strategies. (Part 2: Course #8719, Part 3: #8720)

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.