Would you do this...? Thoughts....

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Costing $1600, an NG tube is electively inserted into a pt for the sole purpose of a weight loss management program. The NGT with tubing is carried in a backpack and is connected to a formula bag that delivers 800 calories and runs 24/7. A "cycle" of feeding lasts 10 days and can be repeated for 10 "cycles'. The cycles are medically supervised with freq bloodwork and attendance at group meetings 3 times /wk is also required,

Saw this program discussed on a morning talk show that I had never watched before. I thought The Doctors was a soap opera. The show's panel of 3 doctors were interviewing a guest MD with a client pt (I think that she was also now a spokesperson /tech for the program?). The host panel doctors were aghast with the procedure citing cost, patient safety issues, long-term efficacy and other concerns that would be expected with such a program. For all their protests, I again got the impression that they were deep-down envious that they hadn't thought of the procedure to make money themselves. JMHO.

I liked the guest MD. He was well composed and informative, citing studies that sounded reputable. He kept emphasizing the "cycle" was ONLY a "jump start" to other weight management approaches for which the pts were educated/counseled and monitored . Guest MD and pt explained there was good weight loss (average 26 pounds) and no negative outcomes to the program. The MD is the only one performing the program in the US, although it is done in Europe.

I liked that MD. I would have had a gazillion other questions - I was that fascinated, but it was a TV show. MD explained that years ago (1960's or so) today's bariatric surgeries and other procedures were considered extreme. This was just a quick "jump start" other approach to weight loss and NOT a diet itself and that other dieting would be nec.

So what do you think --- would you have an NG inserted to "jump start" a diet for $1600???

If the NG tube is smaller than the normal size NG tubes I see in acute care hospitals....and if there are good safety measure in place to prevent it dislodging or aspiration. I don't think it is such a crazy/bad idea. If it works it works!

I (I hate to brag but....) have never been more than 10 pounds above what I like to weigh, but I can understand how hard it is for over weight people to lose weight. It seems less invasive than gastric bypass, stomach stapling, etc? And the poster mentioned this goes along with other weight loss interventions for when the do lose the weight.

Specializes in Emergency & Trauma/Adult ICU.

I saw a story on this on one of the morning network news programs a couple of years ago. A major market for the procedure was brides-to-be.

The cost may seem daunting, but really is not out of line with NutriSystem or other commercially available meal plans which target weight loss.

I am curious what education these patients receive on the risk of dislodgement of the tube and subsequent aspiration. And no, I would not consider this.

OMG, tube feed is perhaps the most disgusting stuff on the face of the planet. I have yet to find any of the formulas that didn't make me feel like upchucking all over myself at the smell of them. **SHIVER** I literally can not imagine lugging around four boxes of that crap in backpack all day. I mean, I guess I'd lose weight. I'd heave everything.

eh, or you could hook yourself up to low wall suction and not have to heave it....Sigh. What will they think of next.....

If the NG tube is smaller than the normal size NG tubes I see in acute care hospitals....and if there are good safety measure in place to prevent it dislodging or aspiration. I don't think it is such a crazy/bad idea. If it works it works!

I (I hate to brag but....) have never been more than 10 pounds above what I like to weigh, but I can understand how hard it is for over weight people to lose weight. It seems less invasive than gastric bypass, stomach stapling, etc? And the poster mentioned this goes along with other weight loss interventions for when the do lose the weight.

Yeah.. you're bragging and I'm just jealous. I was born 10 pounds overweight.

NGT placement is ,of course ,less invasive than other methods.. but it IS invasive. Why would a physician use this sort of treatment? $$$

Specializes in Pedi.
The purpose of an NG tube is to empty the contents of the stomach. With that in mind, and "formula" that one would consume would be suctioned out via the NG tube. Seems like an expensive way to be bulimic.

If what they are talking about is a feeding tube that is inserted the same way as an NG tube, which is on a low setting and only delivers "X" amount of feed per hour, that may "jump start" someone's weight loss, however, I would be interested in how one then transitions back to a normal diet when it is removed.

A fair number of years ago, there was a liquid diet that people drank shakes all day as opposed to eating. The issues came to light when then they had to begin eating solids again. And some just didn't tolerate it as far as a full liquid diet for weeks on end.

NG tubes at best are uncomfortable. And irritating. I am not sure who would run around in their daily life with the NG tube intact and be comfortable with it. Even patients who are required to have an NG tube mostly find it daunting.

An NG tube is not solely for suction. There are many NG tubes that are not salem sumps and are meant for feeding. Rarely have I seen NG tubes to suction in pediatrics, OFTEN have I seen them for feeding.

And, no, I wouldn't do this if you paid me to.

Specializes in Emergency, ICU.

26 lbs in 10 days? That's all I aim to lose anyway. Sign me up!

Just kidding ... Kind of ...

Costing $1600, an NG tube is electively inserted into a pt for the sole purpose of a weight loss management program. The NGT with tubing is carried in a backpack and is connected to a formula bag that delivers 800 calories and runs 24/7. A "cycle" of feeding lasts 10 days and can be repeated for 10 "cycles'. The cycles are medically supervised with freq bloodwork and attendance at group meetings 3 times /wk is also required,

Saw this program discussed on a morning talk show that I had never watched before. I thought The Doctors was a soap opera. The show's panel of 3 doctors were interviewing a guest MD with a client pt (I think that she was also now a spokesperson /tech for the program?). The host panel doctors were aghast with the procedure citing cost, patient safety issues, long-term efficacy and other concerns that would be expected with such a program. For all their protests, I again got the impression that they were deep-down envious that they hadn't thought of the procedure to make money themselves. JMHO.

I liked the guest MD. He was well composed and informative, citing studies that sounded reputable. He kept emphasizing the "cycle" was ONLY a "jump start" to other weight management approaches for which the pts were educated/counseled and monitored . Guest MD and pt explained there was good weight loss (average 26 pounds) and no negative outcomes to the program. The MD is the only one performing the program in the US, although it is done in Europe.

I liked that MD. I would have had a gazillion other questions - I was that fascinated, but it was a TV show. MD explained that years ago (1960's or so) today's bariatric surgeries and other procedures were considered extreme. This was just a quick "jump start" other approach to weight loss and NOT a diet itself and that other dieting would be nec.

So what do you think --- would you have an NG inserted to "jump start" a diet for $1600???

Specializes in Critical Care.

Just checked out the main website, if you guys hurry its only $1499 now! What a steal! And through the images it appears to be more of a dht in size (spaghetti-like as advertised on the site) versus ngt.

It's also weight loss through ketosis.. sounds dangerously stupid. Trick your body into a starvation mode.

I like tube feed, actually. Certain formulas taste good on ice :)

But to answer the original question, no.

Um, dude/dudette.... it 's a Dobhoff.
Fat fingers..small keyboard on phone with the much hated auto correct...
Specializes in Pediatrics, Long Term Care.

I think it is a viable option, I have never had any serious weight problem (always little for my size) but I do understand how the treatment is an option. Even with gastric bypass the chance of going back to regular eating habits is the same. But the same goes in regard to long term effects. The possibilities are endless for effects that could happen after the treatment.

Specializes in PACU, pre/postoperative, ortho.

It's also weight loss through ketosis.. sounds dangerously stupid. Trick your body into a starvation mode.

So then when a normal diet is resumed, your body will continue (at least for a time) to be in starvation mode, storing more fat, slower metabolism, & quickly regaining the weight that was lost & probably a little more.

Specializes in Orthopedic, LTC, STR, Med-Surg, Tele.

No way. NG tubes look absolutely miserable. Seems like an extreme thing that I hope doesn't catch on.

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