I just re read what you said, and I have also worked with children with G-tube (gastric tubes) and TBH if it is going to be an ongoing treatment I would choose the G-tube over a NGT long term any day. They make a small hole which closes over when removed and can be completely hidden by clothing, and doesn't get pulled out as easily nor as invasive (I feel) it seems worse at first but long term I too would opt for this.