James gets his g-tube next Friday...we have to go to Anchorage and I guess he'll have to spend two nights in the hospital, but he usually is in for at least two weeks, so two nights is nothing! I'm a little nervous about the g-tube, we're "use" to the NG, and I don't know th equirks of the g-tube. James is also on a slow continuos feed, he has low volume tolerance, and to give him all his cals it takes about 20 hours. Can I ask two questions? 1. Do you think he'll be feeling pretty yuck from the surgery still after two weeks? 2. Was your daughter able to move feeds faster with the g-tube?
Amber,
I was nervous about the g-tube -- it's hard to change to something when you've all gotten used to something else. But, truly, once you all get used to it, James will be so much more comfortable without a tube in his nose going down his throat! That sensation will be gone, and also, fairly importantly to him, I would think, is the fact that his tube will be much more concealed. As for healing from surgery, it was truly nothing for my daughter. She was in the hospital overnight for observation, as she had a really weak immune system when this was done (it's still not "normal"), and she really didn't have any problems with it. I think she just so appreciated getting the tube out of her nose (and she was only 2 at the time)! I do know that, for the first couple of months while the site healed, she had to have a length of tubing attached at all times, which can be a pain. After two months they were able to change it to a small "button" where we just attach a tube for feeds or meds when needed -- much easier. But even with that length of tubing attached in the beginning it was still, once we got used to it, so much better than the NG tube.
As for the speed of feeds, that took a while for my daughter. I don't think the change in feeding mechanisms really enabled us to speed up her feeds. Her GI system was such a mess at the time, she could only tolerate 10 cc an hour of an elemental feed at times (and sometimes none, just tpn). I'm hoping and praying for the best for James, but be prepared that you may have to just run his feeds at the same, slow pace for a while. Eventually we were able to speed my daughter's feeds up, but it took a while.
After he gets his g-tube, if you have questions/need any tips on care (quality of life things that you may not want to bother the dr with), feel free to ask them here. For instance, I don't know if James is going to be on a continuous feed throughout the day for a while, but if you find there are times when he is off, you will probably have a coil of tubing to deal with. Our GI dr just recommended taping it to my daughter's abdomen so it didn't get pulled, etc, but that was not a comfortable option. We ended up using stretchy bands of gauze to hold the tubing against her abdomen instead of tape. It was recommended to us by a family friend, who said they use it on burn victims to hold bandages in place. It was truly helpful. We also have a cream that's really helpful for irritation around the stoma.
So see what kind of tubing etc. you are dealing with, and feel free to ask questions of any kind (especially those "quality of life" ones the drs often overlook). I hope James will be able to recover as well from the surgery as my daughter did (she has leukemia, and is immuno-compromised from her chemo treatments, so is not comparable physically to your son, but perhaps can be used as example of how someone with a weakened immune system can recover from this procedure).
Ann