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Gastrostomy tube placement - series
Gastrostomy tube placement - series


Definition:

A gastrostomy feeding tube insertion is the placement of a feeding tube through the skin and the stomach wall, directly into the stomach.



Alternative Names:

Gastrostomy tube insertion; G-tube insertion; PEG tube insertion; Stomach tube insertion; Percutaneous endoscopic gastrostomy tube insertion



Description:

Gastrostomy feeding tube insertion is often done through the mouth, by a procedure called endoscopy. Before the tube is inserted, numbing medicine is applied on the area, and the patient is given sleep medicines through a vein.

This procedure can also be done surgically while the patient is under general anesthesia (asleep and pain-free) A small, flexible, hollow tube with a balloon or special tip is inserted into the stomach through a small cut on the left side of the belly area. The surgeon uses stitches to close the stomach around the tube as well as the cut.



Why the Procedure Is Performed:

Gastrostomy feeding tubes are put in for different reasons. They may be needed for a short while or permanently. This procedure may be recommended for:

  • Babies with birth defects of the mouth, esophagus, or stomach (for example, esophageal atresia or tracheal esophageal fistula )
  • Patients who cannot swallow correctly
  • Patients who cannot take enough food by mouth to stay healthy
  • Patients who often breathe in food when eating


Risks:

Risks for any anesthesia are:

  • Reactions to medications
  • Problems breathing
Risks for surgical or endoscopic feeding tube insertion are:
  • Bleeding
  • Infection


After the Procedure:

This is most often a simple surgery with a good outlook.



Outlook (Prognosis):

The stomach and abdomen will heal in 5 to 7 days. Moderate pain can be treated with medications. Feedings will start slowly with clear liquids, and increase slowly.

The patient/family will be taught:

  • How to care for the skin around the tube
  • Signs and symptoms of infection
  • What to do if the tube is pulled out
  • Signs and symptoms of tube blockage
  • How to empty the stomach through the tube
  • How and what to feed through the tube
  • How to hide the tube under clothing
  • What normal activities can be continued



Review Date: 5/8/2008
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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