In my tired state I guess I used his reflux as an example of his slow emptying (how long the milk was still 'good' and undigested in the stomach). But issue we're having with James is not reflux, but the TUBE LEAKING. All around it, all the time.
Also, he is not on milk based formula, just straight Pediasure.
THANK YOU for all the replies, though, and I will certainly bring some of those ideas to the ped.
We will probably pump in Pedialyte tonight while he's sleeping and wrap his middle in a diaper (an idea from another friend) to 'contain' the leakage. Then see what happens. The continuous 24 hour feeds are the only thing I can think of but it still seems he'll have continuous 24 hour leakage and eventually, with so much 'forced in' will start spitting some up as well if he isn't able to physically process that much at a time.
Thanks again, sorry I wasn't clear!