Can you do bolus feeds through J tube?

DON’T BOLUS FEED INTO THE J-PORT It is very important never to bolus feed the J-port of a GJ-tube. The intestine is not able to hold a large volume like the stomach can. It is not uncommon to see continuous feeds of 20 hours a day or more with GJ-tubes, especially in the beginning.

What type of feeding tube is used with bolus feedings?

The bolus method is a type of feeding where a syringe is used to send formula through your feeding tube. The syringe you’ll use is called a catheter syringe. A catheter syringe doesn’t have a needle. It has a hole with a plunger in it.

How do you feed a jejunostomy tube?

Begin feeding

  1. Open the clamp and let the formula fill the entire tubing, clearing any air.
  2. Close the clamp.
  3. Connect the feeding bag tubing to the pump. …
  4. Using the syringe, flush the J-tube with the prescribed amount of water.
  5. Connect the tubing of the feeding bag to the J-tube.
  6. Open the clamp.


Does feeding go through G or J tube?

The “G” portion of this tube is used to vent your child’s stomach for air or drainage, and / or drainage, as well as give your child an alternate way for feeding. The “J” portion is used primarily to feed your child.

When is bolus feeding not appropriate?

Bolus feeding entails administration of 200–400 ml of feed down a feeding tube over 15–60 minutes at regular intervals. The technique may cause bloating and diarrhoea and bolus delivery into the jejunum can cause a “dumping” type syndrome and should therefore be avoided (see section 10.4).

What are the three methods of delivering a bolus feed?

Bolus, Gravity, and Intermittent Feeding



Bolus, gravity, or intermittent feeding can be a nice and easy way to feed your child. This page includes a series of videos on the many possible methods of bolus feeding, including bolus feeding with a pump.

How much can you bolus feed?

Up to 500 ml of feed over a maximum of two hours* can be given in one ‘bolus’, depending on the person’s tolerance and the enteral access route. A typical bolus is 200 – 250ml but individual patients may tolerate more or less than this.

What is bolus feeding?

Bolus feeding is a way of receiving a set amount of feed as required, without use of a feeding pump. This is given over a period of time, as advised by your healthcare professional, using an enteral feeding syringe.

Can you aspirate a jejunostomy tube?

Do not aspirate the NJT as this can cause collapse and recoil of the tube.

How often do you flush a jejunostomy tube?

Flush the J-tube with the prescribed amount of water every 4 to 6 hours through the flush port. If there is no flush port, do this: Stop the pump, disconnect the feeding bag tubing, and flush the J-tube.

How do you initiate a bolus feed?

How to Bolus/Syringe Feed:

  1. Remove the plunger from the syringe.
  2. Attach the syringe to your feeding tube.
  3. Pour 10-15 mL of water into the syringe and let it flow through your tube.


How do you administer bolus feeding?


Hold the syringe at or above the level of the patient's stomach then pour the formula into the syringe. Open all clamps on the feeding tube and extension raise the syringe to make the formula flow.

How do you calculate bolus tube feeding?

Quote from video:
Per day that free water per day and then from that I'm going to subtract out the nine hundred and fifty milliliters that they're getting per day from formula.

How do you transition from continuous to bolus feeds?

Flush your child’s feeding tube with clean, room temperature water. Pour the prescribed amount of formula into the syringe or draw up the formula into the syringe from the liquid measuring cup. Unclamp the feeding tube and slowly push the plunger down. Clamp your feeding tube in between each bolus to prevent leakage.

What are the essential steps for a bolus PEG tube feeding pre feeding?

Using a syringe for a bolus feed



Holding the syringe and enteral tube straight, pour the prescribed amount of feed into the syringe. Let it flow slowly through the tube e.g. 250ml over 20 minutes. Pour the prescribed amount of water into the syringe and allow to flow through to flush the feeding tube appropriately.

What is the difference between bolus feeding and continuous feeding?

Continuous feeding is defined as delivering enteral nutrition with constant speed for 24 h via nutritional pump [2, 3]. Intermittent bolus feeding is defined as delivering enteral nutrition multiple times [4], generally giving 15–30 min every 2–3 h by gravity or electric pump.

What is the difference between bolus and pump feeding?

Pump feeding is defined at delivery rate <60ml/hr. In order to avoid interfering with rehabilitative activities, pump feeding can be discontinued for no more than eight hours during the day. Bolus feeding is defined as no more than 400ml/hr, 4 to 5 times per day.

What is a Jejunostomy tube?

A jejunostomy tube, also called a J-tube, is a surgically placed directly into your child’s small intestine to help with nutrition and growth. The tube is usually a red rubber tube that is stitched at the stoma site, which is the opening in the skin.

Can you eat with a jejunostomy tube?

Eating food will not cause damage to the tube, nor does having a feeding tube make it unsafe to eat.

How do I get rid of feeding jejunostomy?

Removal of Jejunostomy tubes Gastrojejunostomy tubes can be removed via gentle traction after deflation of balloon. Intestinal tubes can be removed by traction from the PEG tube if no longer required; the PEG will need to be removed endoscopically.

How do you start a jejunostomy diet?

Pump-assisted continuous drip infusions are the preferred method for jejunostomy feeding. Typically, continuous feeding is initiated at 20-50 mL/h and increased as tolerated by 10-25 mL/h every 4 to 24 hours until the target rate is achieved [3].

What are the dangers of a feeding tube?

Complications Associated with Feeding Tube

  • Constipation.
  • Dehydration.
  • Diarrhea.
  • Skin Issues (around the site of your tube)
  • Unintentional tears in your intestines (perforation)
  • Infection in your abdomen (peritonitis)
  • Problems with the feeding tube such as blockages (obstruction) and involuntary movement (displacement)


What is the difference between PEG tube and J tube?

A PEG is a feeding tube that is placed into your stomach (see Figure 1, left). If the tube can’t be placed into your stomach, you may have a PEJ tube placed instead (see Figure 1, right). A PEJ tube is placed in your jejunum, which is the second part of your small intestine.

Which is better gastrostomy or jejunostomy?

Feeding jejunostomy has a lower incidence of complications, especially pulmonary aspiration, than gastrostomy. Stamm jejunostomy should be used for enteral feeding in older patients and in patients with short life expectancy. In younger patients requiring lifelong enteral feeding, Roux-en-Y jejunostomy should be used.

Is J tube enteral?

Feeding jejunostomy refers to a surgically inserted tube, preferably in the proximal jejunum, to provide enteral nutrition or administer medications.