Hi, Sally, Inded, your brother is going to face some hard going ahead. The feeding tube, if it is a PEG tube will not usually cause problems and is easy for most people to adjust to. You can do a search for pegs or tube feeding [look at the top of this page for the search button] and you will find more than you ever wanted to know about them. I can't speak to the rest of his treatment because my husband had a different protocol. Hope he is going to have a good support system. That will help him rebound faster. Amy