The tube that surgeon and ging refer to is a "J" tube, and will enable your father to get better nutrition than an IV. I am very surprised that he doesn't already have one, given the need for re-hospitalization due to malnutrition. You should discuss with his docs, but there may be a reason that they have ruled out a J tube.
There are Internet-based support groups for gastric cancer that are excellent sources of both support and information, and are helpful for the patientt, caregivers, and the patient's family. Try ACOR's home page at www.acor.org. You will be able to join a gastric cancer support group with hunderds of subscribers. There is no cost. You and your father may find that you benefit from the first-hand experiences of other folks who have already travelled the path you are on now.
My thoughts are with you and your father.
I don't know what a TPN is, butI had a feeding tube put in the jejunum but still lost 50 lbs. I know, for me, it was absolutely necessary.
Sorry - I meant to say "nutrition" referral. Sorry for the typo.
As surgeon has mentioned below, I am not aware of the procedure you are suggesting being possible. The suggestion of placement of a feedng tube is a good one. The chemotherapy may have complicated the anatomy, causing the symptoms.
Increasing caloric intake and improving nutrition would help with the healing process.
I would consider a GI and nutrion referral to consider the need of a feeding tube.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
that's not something that's done. One solution that may be better than tpn is to have a feeding tube inserted into the intestine, which would mean another -- but relatively minor -- operation. The body does better with calories that come in through the gut than those that come via the IV. I'd assume the anatomy of the hookup has been reviewed to look for obstructions; it might or might not evenually need surgical revision. But having radiation to the area complictes things, both in terms of delaying recovery, and interms of options for reoperation. For now, given what you describe, I'd consider surgical placement of an intestinal feeding tube. If one had been placed during the original operation, as they often are, it may be possible to reinsert it using xray guidance without an open reoperation. Getting better nutrition will improve the chances of recovery without major surgical intervention.