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In several letters to the list lately I've seen reference to a gastronomy, or feeding tube. Could anyone tell me what is involved with using one? How is it put in? Is it permanent, or inserted at each meal? How much expertise is needed to feed a patient using one? Can the patient eat in any other way once a tube is used? My mother does more choking than swallowing, and is losing weight. It takes her so long to even eat a little, that she is quickly too tired to finish taking in the amount she needs. She tries to eat often, but we should know about what may be yet to come. Thanks.