Feeding tube insertion (gastrostomy)

what is a feeding tube

A feeding tube could be a tool which is inserted into your stomach through your abdomen. Gastrostomy is performed because a patient temporarily or permanently troubles in eating and must be fed directly through a tube within the stomach.

A g-tube is meant to provide nutrition if you have got trouble eating. Feeding tube insertion is additionally called percutaneous endoscopic gastrostomy (PEG), esophagogastroduodenoscopy (EGD), and G-tube insertion.

Types of G-tube

There are different varieties of Gastrostomy tubes which can be aware of aid you. Though each patient features a different medical condition, therefore the sort of tube selected depends thereon . Your doctor will determine the foremost effective quite G-tube for you and explain this thoroughly at the time of the evaluation.

A gastrostomy tube often called a G-tube, may be a device surgically placed device to offer direct access to your stomach for supplemental feeding, hydration or medication.

Below are two of the foremost common sorts of G-tubes :

One of the foremost common sorts of G-tubes is understood as a low-profile tube sometimes called a “button”. this sort of tube lays on top of the inner wall of the stomach and is kept at a spot within the stomach by a water-filled balloon. During your hospital admission, you’ll learn the way to use, clean and lookout of the G-tube. It creates a path to the stomach so nutrition and medications could also be administered directly. Most tubes have a water-filled balloon which helps keep the tube securely in position within the stomach.

Sometimes an extended tube is used instead of the low-profile button. These longer tubes are also surgically placed into the stomach and held in position with either stitches or a water-filled balloon. Sometimes a Hollister dressing is kept at the region around an extended tube. A Hollister dressing which may be a large circular dressing that allows the tube to stay in position with a ziplock-type device.

Why G-tube is used

G-tubes are used for a variety of medical conditions, but the foremost common use is for feedings to spice up your nutrition.

When an indvidual is unable to eat enough food orally, a G-tube helps deliver enough calories and nutrients to support their growth.

This treatment is reserved for the time once you’ve got trouble eating on your own.

Conditions which will cause you to have trouble eating include:

  • burns
  • cerebral pulsy
  • stroke
  • dementia
  • motor neuron disease

A gastrostomy tube is inserted because:

 • When a person cannot swallow correctly

• People that cannot take enough food orally to stay healthy

• Difficulty swallowing or keeping food down.

• If you aren’t getting enough nutrition or fluids orally.

Gastrostomy is performed because a patient temporarily or permanently must be fed directly through a tube within the stomach. Gastrostomy is additionally performed to provide drainage for the stomach when it is necessary to bypass a long-standing obstruction of the stomach outlet into the small intestine. Obstructions could even be caused by peptic ulcer scarring or a tumor.

Gastrostomy is additionally performed to supply drainage for the stomach when it’s necessary to bypass a longstanding obstruction of the stomach outlet into the tiny intestine. Obstructions could also be caused by peptic ulceration scarring or a tumor.

How to place the feeding tube

Gastrostomy, also called gastrostomy tube (g-tube) insertion, is surgery performed to offer an external opening into the stomach. Surgery is performed either when the patient is under general anaesthesia or local anaesthesia . generally anesthesia, the patient feels as if he or she is during a deep sleep and has no awareness of what’s happening. under local anaesthesia , the patient is awake, but the a part of the body cut during the operation is numbed.

The procedure to put the gastrostomy tube is usually a fast one, and should or might not require anesthesia counting on your condition.

Fitting the gastrostomy tube or g-tube usually requires a brief surgery that lasts about half-hour . During the surgery, a hole (stoma) about the diameter of a little pencil is cut within the skin and into the stomach; the stomach is then carefully attached to the wall . The g-tube is then fitted into the stoma. it’s a special tube held in situ by a disc or a water-filled balloon that features a valve inside allowing food to enter, but nothing to return out.

how the g-tube hole is made

The hole may be made using two different methods.

The first uses a tube called an endoscope that features a light at the tip, which is inserted into the mouth and fed down the gullet (esophagus) into the stomach. The brightness shines through the skin, showing the surgeon where to perform the incision. The endoscope may be a long thin instrument with a bright small lamp and a camera on the tip that enables the provider to observe the procedure on a monitor.

The other procedure doesn’t use an endoscope. Instead, a tiny incision is created on the left side of the abdomen. A little flexible hollow tube, usually made from polyvinylchloride or rubber, is inserted into the stomach. The stomach is stitched closely round the g- tube, and therefore the incision is closed.

The outside portion of the gastrostomy tube contains a cap that enables the tube to be opened, and for food and fluids to be gently pushed through the tube into the stomach. With good tube care, the incision will close more tightly at area around the tube, and any leaking of food or fluid that happens within the days immediately following the procedure should be minimized with healing.

The length of duration the patient has to remain at the hospital depends on the age of the patient and therefore the patient’s general health. In some cases, the hospital stay may be as short as a single day day, but often is longer. Normally the healing process takes five to seven days.

Before the procedure

Before the procedure, you are required to get rid of any jewelry or dentures. You’re then given an anesthetic and something to alleviate pain. After laying you on your back, your doctor places the endoscope in your mouth and takes it down to your easophegus. The camera helps the doctor visualize your stomach lining to make sure that the feeding tube is positioned properly. When your doctor can see your stomach, they create small incision in your abdomen. After that, they insert the tube through the opening. They then secure the tube and place a sterile dressing round the site. There could also be a bit drainage of bodily fluids, like blood or pus, from the wound.

You will be provided a sedative and a painkiller. In most cases, these medicines are given through a vein in your arm. You ought to feel no pain and not remember the procedure. Numbing medicine could also be sprayed into your mouth to stop the urge to cough or gag when the endoscope is inserted. A mouth guard is also inserted to guard your teeth and also the endoscope. The entire procedure usually lasts about an hour.

After the operation

Immediately after the operation, the patient is fed intravenously for a minimum of 24 hours. Once bowel sounds are heard, indicating that the digestive system is functioning , the patient can begin clear liquid feedings through the gastrostomy tube. The amount of the feedings is gradually increased.

Your doctors will check you deeply if there are any signs of infection, bleeding, or other complications.

The feeding tube is applied a tape to make it stick to your stomach. You would possibly see some drainage around it for the starting day or two. A sterile gauze will cover your cut, and your nurse will change the dressing as required . Once the dressing comes off and your wound has healed, you’ll required to wash the region daily with soap and water.

Your abdomen could feel a small amount of soreness for a few of days where the tube went in. It would feel like a pulled muscle. Your doctor will offer you pain medicines for the primary day after the surgery.

Feeling pain for a couple of days round the place where the incision was made is normal. you have to ensure to keep the region dry and clean to avoid skin irritation or infection.

Risk factors

There are few risks related to this surgery. The critial complications are infection, bleeding, dislodgment of the g-tube, stomach bloating, nausea, and diarrhea.

Excessive bleeding and infection are risks whenever you have got surgery, even with a minor procedure like a feeding tube insertion.

Gastrostomy is relatively simple procedure. Like any surgery, however, patients are more likely to experience complications if they’re smokers, obese, use alcohol heavily, or use illicit drugs. Additionally , some prescription medications may increase risks related to anesthesia.

In case of a child

First ensure that your child is sitting up either in your arms or in high chair.

If your child fusses or cries while feeding, pinch the tube with the help of your fingers to prevent the feeding until your child is more calm and quiet.

Feeding time may be a social, happy time. Make it pleasant and fun. Your child will enjoy a mild talk and play.

avoid your child to keep pulling the tube.

Since your child isn’t using their mouth yet, your provider will seek advice from you other ways to permit your child to suck and develop mouth and jaw muscles.

When to consult a doctor

Before you are allowed to leave the hospital or clinic, be sure that you understand the way to take care of your feeding tube and when you need to see or contact a doctor. you must call your doctor if :

  • The tube comes out or gets dislodged
  • Food won’t go through the tube
  • If the tube is blocked
  • You notice bleeding on area around the tube insertion site
  • You have drainage round the site after several days
  • You have signs and symptoms of an infection, including redness, swelling, or a fever