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aspiration and peg tube

2 posts in this topic

My Father had Parkinson's for 15 years, he is now in a hospital due to a hip fracture. They changed his feeding from oral to a peg tube, because he couldn't swallow after his hip surgery. He keeps aspirating even though he only gets nutrition through the peg tube, and now the doctor is also suggesting inserting a j-tube, because he thinks that he will not aspirate that way. They will keep peg tube for his medicine and feed him through the J tube.

 

Can you give me your opinion on whether this is a good idea and if there are any alternatives to this. He was coughing at home when he would eat, but he could swallow. Since he got in the hospital, they have to suction his mouth/throat regularly otherwise he keeps getting pneumonia.

 

Thanks for your help.

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It is hard to know in the acute setting.

 

We get a speech and language pathology consult and study and evaluate from there. In severe cases this may be one approach, but in many cases this can be avoided and it can be done with one tube. It will really depend on a case by case basis. We have also seen swallowing improve out of the rehab setting with time, so that must also be considered.

 

Thanks for the question.

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