@ltecato The short answer is no. A feeding tube does not prevent aspiration. I speak from experience with my father who had a feeding tube because of a head injury from a skull fracture in his 60's. That was temporary and after he had relearned how to swallow, the tube was removed. When he was in his 80's, the difficulty swallowing returned and he was choking on his food. We had swallowing studies done and the doctors ordered nothing by mouth which did frustrate him a lot. I helped him make the decision to have the feeding tube that they suggested. With the various ER visits with an elderly man, I had a chance to ask the doctors, and they told me what happens is that the stomach shrinks because of not having solid food. With the feeding tube, we had to do a slow drip with an IV bag connection. If my dad started coughing, he could cough up his stomach contents into his mouth and start choking on it. There were times this happened, and I opened the tube connection into his stomach to drain it to stop him from coughing it up. That is why the feeding needed to be a slow drip. The doctors told me that is eventually what happens causing aspiration. They were right and this is how he died by coughing up stomach contents and then aspirating it into his lungs causing a heart attack. He was an end stage heart patient with heart failure.