284 Section VII ■ Tube Replacement

H. Complications (See also Oral or Nasal

Gastric Tubes, H.)

1. The risk of aspiration with transpyloric feeding does not

appear to be different from the risk with gastric feeding

(29).

2. Kinking or knotting of tube

3. Hardening of PVC tube with leaching of bioavailable

plasticizers (8)

4. Perforation of esophagus, stomach, duodenum (31)

5. Development of pyloric stenosis (32)

6. Possible interference with absorption of medications

7. Malabsorption and GI disturbance (29,31)

a. Risk of fat malabsorption with nasojejunal feeds

b. Dumping syndrome if hypertonic medications or

feedings instilled too rapidly

c. GI disturbance as characterized by abdominal distention, gastric bleeding, and bilious vomiting

8. Intussusception (33)

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