TY - JOUR T1 - Farrell valve relieves bloating in gastrostomy patient JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care SP - 258 LP - 260 DO - 10.1136/bmjspcare-2017-001375 VL - 7 IS - 3 AU - Alison Phippen AU - Elaine Brennan AU - John Ealing AU - Samantha Kay AU - David Waterman Y1 - 2017/09/01 UR - http://spcare.bmj.com/content/7/3/258.abstract N2 - Dysphagia and weight loss are experienced by up to 80% of patients with motor neuron disease (MND). Enteral tube feeding can benefit these patients but side effects including fullness, bloating, diarrhoea and constipation are frequent and can lead to non-compliance. Changes in feed formulation, regimens and the use of prokinetic medication can help symptoms. We describe a case where the use of gastric pressure relief bags during enteral feeding improved symptoms of bloating in a hospice inpatient with MND. Symptoms recurred when these were not used, which were only partially relieved by manual venting of the gastrostomy tube. We suggest that this simple, non-pharmacological approach to bloating may provide opportunities for symptom relief in the palliative care setting. ER -