For long-term non-oral feeding, which tube type is most appropriate?

• A. Esophagostomy
• B. Gastrostomy
• C. Nasogastric
• D. Pharyngostomy

Answer: (B)

For long-term non-oral feeding, the access should be durable, comfortable, and easy to manage. A gastrostomy tube provides direct access into the stomach through the abdominal wall, which is well suited for months or years of feeding. It minimizes nasal and throat irritation, reduces the risk of tube dislodgement compared to a tube that goes in through the nose, and is easier to care for and secure. In contrast, a nasogastric tube is intended for short-term use and often causes discomfort, nasal or sinus issues, and higher risk of becoming displaced. Pharyngostomy and esophagostomy are more invasive options with greater complication risk and are not chosen unless a unique clinical situation dictates them.