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Jejunostomy tube care and feeding

Healthcare worker in scrubs holding feeding equipment

This page has a series of online learning sessions that have been specifically created to support families and professionals learn about jejunostomy tube care and feeding. Please take your time to watch through each session.

Objectives of the session

  • To be able to deliver the same standards of high quality care to all children and young people. 
  • To be able to provide care safely, understand the procedure, need and relevance of the training.
  • To feel confident and competent in the care you deliver. 

Jejunostomy tube care and feeding

A jejunostomy tube is a tube that is inserted through the skin and into the first part of the intestine called the jejunum. This sessions covers the care needed for direct and transgastric jejunal tubes. Jejunal tubes are always inserted and replaced in hospital. 

Why is it needed?

  • poor gastric emptying/severe slow bowel
  • volume restriction
  • failed Nissen's fundoplication
  • severe reflux
  • reduce risk of aspiration

Types of feeding tube

  • Naso-jejunal tube
  • Transfastric jejunostomy tube
  • Direct jejunostomy tube

Differences to enteral feeding

  • jejunum is not a storage organ
  • slower feed rates
  • no bolus feeds
  • not suitable for blended diets


The jejunal part can be dislodged back into the stomach. Some signs and symptoms to look for include:

  • increase in reflux symptoms or discomfort
  • feed appearing in a gastric sample or in the gastric drainage bag

Last reviewed: 1 November, 2023


Who can help

If you have any questions or concerns, a health professional in our team will be able to offer advice and support.

For the Cambridgeshire Team call 01223 218061 

For the Cambridgeshire Team call 01223 218061 

For the Peterborough Team call 01733 847060 

Have your say

Please tell us about your recent experience with any of our services by answering a few simple questions. We want to hear about what you felt went well and what you think we could do differently. 

Your voice makes a difference and helps us improve our services for you and other families.

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