Sizes and types of NG tubes

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Does anyone know how many sizes and types of NG tubes there are?  There must be a range of types and sizes as I have heard them talked about in the background.

First three experienced nurses tried and failed to fit tubes.

Then a lovely lady with specialist experience of fitting (fathead) tubes with lights and a camera in the end tried four times and failed.

Then radiology were tasked with fitting a tube under xray guidance.

Dieticians have to recommend the tube.
Speech therapy have to approve.
Oncology prescribes the tube.
Radiology have to fit it.
Nursing has to prep me.
Dieticians know tube sizes and types.
No one else (except maybe speech pathology does)
I arrive at radiology for the tube too be fitted but they don't keep tubes.
Message sent to ward to send tube.
Ward does not know what size or type.
Asks oncology.  Oncology does not know so sends two.
Radiology does not know which one to pick.  Comment that neither tube has a wire inside it for guidance or visualisation as they would expect.  Has to pick a tube, put a wire inside it so it can be seen on the xray, fits tube.
My tube is big and not very flexible; every time I swallow I can feel it pull the end of my nose and when the nurses started feeding me every move was evident along the line.
It is not very comfortable at all 12 hrs after fitting.
Does anyone know about what sizes and types there are.  I think I have to talk about this with the people who are treating me but clearly some of them don't know what they don't know.
  • Hi. 
    Adult NG tubes are usually 12 - 18 Fr gauge with the narrowest being preferred for feeding. 
    They come in PVC which is really stiff, Polyurethane which is less so and silicone which is soft. They can be radioluscent or radio opaque I had a 12g silicone one with a weighted tip so it didn’t need a guide wire. These tubes have length markers and when I had mine fitted the dietician simply held it up against me to get the length then after pushing it up my nose I was given a glass of water to swallow it down. 
    It sounds like you might have a PVC one which is clearly not suitable for you.

    It all sounds so hit and miss. I hope you get sorted 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

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  • Thank you Beesuit.  That info is very helpful.  After googling this issue I am pretty sure I have the wrong size and type of tube.Angry

  • Unfortunately I think you’ve hit the nail on the head. They don’t seem to know what they are doing. 
    Can you get onto a dietician tomorrow ? They should be able to sort you out pretty quickly. 
    Let us know how you get on. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
  • So sorry to hear the trouble you are having with the NG tube.Sounds like a bit of a debacle.  I have had at different times 3 NG tubes after my 3 ops all put in during my ops so under anaesthetic.  All of them were fine and I did not have any trouble with them and  they were quite comfortable. I do hope they find the right one for you as it is so important to get enough nutrition. 

    Lyn

    Sophie66