Table 5.
Oral feeding | Nasogastric feeding | Gastrostomy feeding | |
---|---|---|---|
Clinical benefits | Simple to insert Relatively easy to feed |
Presumed similar to gastrostomy tube, but minimal data specific to nasogastric tube delivery |
Improved nutrition status Lesser mealtimes Easy for the care giver to feed the child Low chances of aspiration from above Better comfort, alertness, and mood of the patient |
Clinical risks | Risk of aspiration from below Only liquid diet can be given, which results in suboptimal nutrition | Tube dislodgement Nasal damage from long-term use |
Peritonitis, local abscess formation Tube blockage/dislodgement Peristomal leak Increase in gastroespophageal reflux |
Quality-of-life considerations | Important sensory Experience Mealtime struggles to maintain adequate nutrition |
Improved quality of life of caregiver Decreased stress on caregiver Increased family costs |