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Clogs are the Most Frequently Reported Complication – Tuesday Tube Facts

Did you know…?

Clogging is the most frequently reported mechanical complication associated with feeding tubes.[1,2,3]

Reported clogging rates range from 9 – 35%.[1,2,3]

References:

  1. Marcuard SP, Stegall KS. Unclogging feeding tubes with pancreatic enzyme. JPEN J Parenter Enteral Nutr. 1990;14(2):198-200.
  2. Bourgault AM, Heyland DK, Drover JW, Keefe L, Newman P, Day AG. Prophylactic pancreatic enzymes to reduce feeding tube occlusions. Nutr Clin Pract. 2003;18(5):398-401.
  3. Shiram K, Jayanth, V., Lakshmi, R., George, V. Prophylactic Locking of Enteral Feeding Tubes With Pancreatic Enzymes. Journal of Parenteral and Enteral Nutrition. 2012;21(6):353-356.

35% of Tubes Clog – Tuesday Tube Facts

Did you know…?

Up to 35% of enteral feeding tubes will become clogged.[1,2]

If a clogged feeding tube cannot be cleared, it will be replaced. Replacing a feeding tube can incur numerous costs, as well as risk of malposition.

References:

  1. Dandeles LM, Lodolce AE. Efficacy of agents to prevent and treat enteral feeding tube clogs. Ann Pharmacother. 2011;45:676-680.
  2. Blumenstein I, Shastri YM, Stein J. Gastroenteric tube feeding: techniques, problems and solutions. World J Gastroenterol. 2014;20:8505-8524.

Acidic Fluids May Coagulate or Thicken Clogs – Tuesday Tube Facts

Did you know…?

The use of acidic liquids to clear a clogged feeding tube may make the problem worse.[1,2]

Enteral feeding proteins coagulate or thicken in an acidic environment.[1,2]

References:

  1. Dandeles LM, Lodolce AE. Efficacy of agents to prevent and treat enteral feeding tube clogs. Ann Pharmacother. 2011;45:676-680.
  2. Williams NT.Medication administration through enteral feeding tubes. Am J Health-Syst Pharm. 2008;65:2347-2357.

Dried Clogs Are More Difficult – Tuesday Tube Facts

Did you know…?

The drier a clog is inside a feeding tube, the more difficult it is to remove.[1]

Simulated clogs composed of dried-out coagulated protein were more difficult to clear than those that contained wet coagulated protein.[1]

References:

  1. Garrison, C. M. Enteral Feeding Tube Clogging: What Are the Causes and What Are the Answers? A Bench Top Analysis. Nutrition in Clinical Practice. 2018. 33(1):147-150.

Fluoroscopy EAD Replacement Costs – Tuesday Tube Facts

Did you know…?

Using fluoroscopy to replace a clogged feeding tube can cost as much as $1,000.[1]

In addition, replacement often exposes the patient to additional radiation.[2]

References:

  1. Fisher C, Blalock B. Clogged feeding tubes: a clinician’s thorn. Pract Gastroenterol. 2014;38:16-22.
  2. Garrison, C. M. Enteral Feeding Tube Clogging: What Are the Causes and What Are the Answers? A Bench Top Analysis. Nutrition in Clinical Practice. 2018. 33(1):147-150.