Treatment FAQ

when you get a feeding tube from radiation can you take it out after treatment

by Angelica Gibson Published 3 years ago Updated 2 years ago

Data from previous patients has shown the average to have a feeding tube in place is 6 months with an average of having it for 3 ½ months after treatment has been completed. Of course that means some people had it out quicker and some needed it longer.

Full Answer

Do cancer patients need a feeding tube?

Even though a feeding tube may be essential for helping you maintain a healthy, active life during and after cancer treatment, it can be a big lifestyle change. We asked senior clinical dietitian Daxaben Amin what cancer patients should know about feeding tubes. When do cancer patients need a feeding tube?

How long does it take for a feeding tube to heal?

With the longer-term tubes, like G-tubes and J-tubes, patients may experience some initial pain and discomfort, but it should fade after a day or two. How do feeding tubes work? Different tubes work in different ways.

Is it normal to feel a feeding tube?

Patients typically can feel an NG-tube, but the good news is, it’s only used for a few days or weeks. With the longer-term tubes, like G-tubes and J-tubes, patients may experience some initial pain and discomfort, but it should fade after a day or two. How do feeding tubes work? Different tubes work in different ways.

How is a feeding tube placed?

The way a feeding tube is placed depends on the type of feeding tube you need. There are three types of feeding tubes commonly used: Nasogastric tube (NG-tube): This flexible tube is passed through the nose, down the esophagus and into the stomach. It is placed at the patient’s bedside in the hospital and doesn’t require a surgical procedure.

How long does it take to have a feeding tube removed?

Removal takes only minutes and is usually done in the office by the doctor or nurse. Once the button or G-tube is out, a small hole will remain. It will be need to be kept clean and covered with gauze until it closes on its own. In some cases, surgery is necessary to close the hole.

Do I need a feeding tube during radiation of the throat area?

After surgery or radiation therapy for head and neck cancer, you may find eating and swallowing uncomfortable or difficult. A feeding tube may be inserted to help you get the nutrition you need while your throat heals. This tube is usually temporary, but sometimes it is permanent.

What type of cancer requires a feeding tube?

A tube feed is most likely to help you if you have a head and neck cancer. You might be malnourished already and have problems swallowing before you start treatment. There is no evidence that it makes cancer treatment work any better.

What does it mean when a cancer patient gets a feeding tube?

When cancer patients struggle with this, a feeding tube can be a solution. These flexible plastic tubes placed in the stomach can help provide the calories, protein, vitamins, minerals and fluids needed to help the body fight infection, heal and stay healthy – all crucial during cancer treatment.

What happens when a feeding tube is removed?

Once the tube is removed, stomach contents will leak from the stoma and will continue to do so until the tract closes completely. It may take up to two weeks for the feeding tube tract to heal and close, and it will leak during this time.

How can I improve my swallowing after radiation?

Moisten your food with gravy, sauces, broth, or milk to make it easier to swallow. Drink sips of liquid between bites of food. Soft foods are easier to swallow. Try gelatin, yogurt, pudding, pasta, cooked vegetables, canned fruit, soft-cooked eggs, applesauce, cooked cereal, cottage cheese, ice cream, and sherbet.

How long can a cancer patient live on a feeding tube?

Tube feeding has limited medical benefits in terms of survival, functional status, or risk of aspiration pneumonia, although survival varies by underlying diagnosis. Patients who receive a percutaneous feeding tube have a 30-day mortality risk of 18%–24% and a 1-year mortality risk of 50%–63%.

Can you live a normal life with a feeding tube?

A feeding tube can remain in place as long as you need it. Some people stay on one for life.

Can you still eat and drink if you have a feeding tube?

It is normally okay to eat and drink if you needed the PEG tube because of: Weight loss. Not being able to gain weight. Just in case you are not able to eat enough.

What is the most common problem in tube feeding?

Diarrhea. The most common reported complication of tube feeding is diarrhea, defined as stool weight > 200 mL per 24 hours.

What foods can go in a feeding tube?

Foods that are popular for blending include sweet potatoes, bananas, quinoa, avocado, oats, nut and seed butters, chicken, yogurt, kefir, various grains, and milk (cow's, soy, almond, coconut, etc). Other liquids include water, broths, and juices.

How do you gain weight on a feeding tube?

If you use the bolus method for tube feeding, the most basic strategy to increase calories is to increase the volume of each bolus meal. Try slowly increasing a meal volume by 30- to 60-mL (1- to 2-ounce) increments. Often, the adult stomach can tolerate a total volume of 240–480 mL per meal.

How to maintain swallowing?

The best "exercise" to maintain your swallow is to keep eating and/or drinking by mouth.

Is hydrocodone good for radiation?

Hydrocodone is also your best friend. The most important recommendation I will make to anyone having radiation is to get acupuncture. I had acupuncture once a week even a few weeks prior to beginning treatment. The acupuncture kept my energy level high and I never got a dry mouth.

Can a rad order a gastro dr?

Rad also can order gastro dr for feed tube. Rad dr can order speech therapy, swallow study. Gastro dr orders home health to learn about tube, prescribed formula. You'll need an aresenol of preventative lotions,potions... Dental, baby toothbrush.

Why do cancer patients need feeding tubes?

Cancer patients may need a feeding tube if they: Have trouble swallowing due to cancer in the head or neck area. Are malnourished before or during cancer treatment, including surgery, chemotherapy and radiation therapy. Have fistulas, an opening, or an abscess in the esophagus or stomach.

What is the purpose of a feeding tube for cancer patients?

When cancer patients struggle with this, a feeding tube can be a solution. These flexible plastic tubes placed in the stomach can help provide the calories, protein, vitamins, minerals and fluids needed to help the body fight infection, ...

What is a tube for food?

The tube delivers food and medicine until the person is healthy enough to eat by mouth. It bypasses the stomach completely and is often used when the patient cannot digest food in the stomach, like in some cases of stomach cancer. This tube is also best-suited for long-term use.

Where is the feeding tube placed?

It is placed at the patient’s bedside in the hospital and doesn’t require a surgical procedure.

How long does it take for a NG tube to feel?

Again, this depends on the type of tube. Patients typically can feel an NG-tube, but the good news is, it’s only used for a few days or weeks. With the longer-term tubes, like G-tubes and J-tubes, patients may experience some initial pain and discomfort, but it should fade after a day or two.

Can you hide a feeding tube under clothes?

Feeding tubes are very easy to hide under clothes. Many of our patients go back to work after having a feeding tube installed, and their co-workers have no idea they have a feeding tube. With closer family and friends, we recommend educating them about your condition and showing them how the feeding tube works.

Can you use feeding tubes at MD Anderson?

Yes, all three types of the common feeding tubes mentioned above can be operated by the patients themselves. But depending on their physical and mental health, they may need help from a caregiver or health care provider. At MD Anderson, we provide classes for patients and caregivers to prepare them to use feeding tubes.

How long does it take to get back to yourself after radiation?

You WILL get back to yourself, but you need to give yourself 5 months….at least 6 weeks post radiation. But when you look at the length your life will be (like mine) the 6 months or so to deal with this will be a blip of nothingness. Balance the pain you are experiencing with the joys that life gives you.

Can you eat with a feeding tube?

No feeding tube is perfectly possible. Yes, you have to force yourself to eat , and it hurts like you can’t imagine, like the worst sore throat you have ever had in your life, but it is possible.

What is the role of feeding tubes in cancer?

Feeding tubes play a critical role in maintaining positive nitrogen balance during cancer therapy . Most oncologists agree that placing them to optimize nutrition is a critical step in successful cancer therapy. However, placement of a percutaneous endoscopic gastrostomy (PEG) tube is a surgical procedure and, as such, carries inherent risk. A large meta-analysis showed a procedure-related morbidity of 9.4% and mortality of 0.53%. Most series report morbidity rates ranging from 9% to 17%, although major complications occur in only 1% to 3% of cases.

Why do you need a feeding tube for esophageal cancer?

Also, patients with esophageal cancer who receive neoadjuvant treatment and need nutrition support may require placement of a nasojejunal feeding tube to prevent disruption or compromise of the future surgical site.

How long does enteral nutrition support last?

There are no definitive guidelines for starting nutrition support; however, the decision to use enteral nutrition support (ENS) is relatively simple for a malnourished patient who is undergoing treatment for curative disease but unable to meet nutrition needs orally for 7 or more days.

How does malnutrition affect cancer patients?

Malnutrition — suspected to occur in 40% to 80% of patients with cancer — can negatively affect response to treatment; increase treatment-related toxicity; interrupt treatment plan schedules; extend hospital stays; impair muscle function; and decrease performance status, immune function, quality of life and OS.

Can cancer cause malnutrition?

Patients’ physiological response to the cancer and the effects of treatment can lead to malnutrition. Other circumstances include reduced food intake, alterations in normal digestion, absorption and utilization of nutrients, and increased metabolic needs.

Is enteral nutrition good for cancer patients?

Weighing the benefits and risks of enteral nutrition support is crucial for patients with head and neck cancer, because the treatments we administer — particularly the combinations of chemotherapy and radiation therapy — result in significant mucositis and swallowing-related difficulties.

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