An feeding tube and a kit for installation of a feeding tube includes aballoonan-chored gastric tube. A protective sleeve on a dilator protects the toroidalballoon from damagedur-ing surgical insertion of the feeding tube. In one example, a jejunal tubeis integrated with the kitand the gastric tube serves as a gastric sleeve forming an annular region orchannels for fluid flowto and/or from the stomach and to/from the jejunum. An integrated gastrojejunal feeding tube unitmay include a jejunal tube outlet port at one end, a jejunal balloon port, agastric sleeve outlet port,one or more gastric balloon ports, one or more gastric balloons, gastricdrainage holes, a jejunalballoon positioned at end of the jejunal tube and sleeve. A black silk loopmay affix an end of thejejunal tube at a position in the jejunum, and insertion of the jejunal tubemay be monitoredcontin-uously using an endoscope. Drainage holes may be provided in thejejunal tube and/or the gastricsleeve. Depending on the clinical state, feeding may be initiated through thegastric sleeve outletport or via the jejunal tube outlet port and may be altered without surgicalintervention, asre-quired. Drainage holes in the gastric sleeve may be used to deflate thestomach, while nutrition isprovided by a jejunal tube inserted in the jejunum, simultaneously.
