Many factors (e.g., insufficient water flushes, contaminated formula, aspiration for gastric residuals, and improper medication preparation and administration) can contribute to the risk of tube clogging.
Escuro, A.A., Burns, B., McLaughlin, K., Lopez, R. and Cresci, G.A. (2020), Dietitians’ Evaluation of Clearing Luminal Occlusions of Gunk (DECLOG): A Pilot Feasibility Study. Nutrition in Clinical Practice, 35: 142-148. https://doi.org/10.1002/ncp.10318
Uncertainty in the literature about feeding tube choices, practices, and transitions requires clinicians to draw on incomplete and sometimes conflicting evidence, personal experience, economic realities, and compassion to deliver supportive care.
Abdelhadi, R.A., Rempel, G., Sevilla, W., Turner, J.M., Quet, J., Nelson, A., Rahe, K., Wilhelm, R., Larocque, J., Guenter, P. and (2021), Transitioning From Nasogastric Feeding Tube to Gastrostomy Tube in Pediatric Patients: A Survey on Decision-Making and Practice. Nutrition in Clinical Practice, 36: 654 664. https://doi.org/10.1002/ncp.10603
Head & neck cancer and the treatment modalities have significant nutritional impacts. Patients often need nutrition support which can include enteral nutrition. The type of feeding tube placed, when the EN begins, and the type of formula can all impact patient clinical outcomes.
Heneghen, Lisa, MPH, RDN, SNSC, CSO. Enteral Nutrition for Patients with Head and Neck Cancer. ASPEN Videos and Podcasts. 2022;https://www.youtube.com/watch?v=8YjOwB3cuPg