A gastric feeding tube and method of use where the tube is of sufficient length for insertion into an esophagus of a subject via the nose or mouth. The gastric feed tube comprises a tube having a distal portion, a middle portion and a proximal portion, an outer surface and an inner surface forming a wall of the tube having a thickness and wherein the wall of the tube defines a lumen of a defined geometry, the lumen having an opening at a distal end of the tube for positioning in a stomach or jejunum of the subject and an opening at the proximal end of the tube for positioning outside of the nose or mouth of the subject wherein the lumen extends longitudinally through the tube connecting the opening at the distal end of the tube and the opening at the proximal end of the tube. The defined geometry of the lumen has a transverse major axis and a transverse minor axis that are perpendicular and wherein a portion of the inner surface of the wall of the tube along the transverse major axis comprises a rib that protrudes into the lumen and thickens the portion of the inner surface of the wall of the tube. The rib prevents the tube from fully collapsing and blocking the lumen when the tube is in use under normal conditions.