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Gastrostomy tubes may be placed endoscopically, surgically, or radiologically This article endeavors to investigate the causes of gastrostomy tube leakage and the do's and don't's of its management. Many of the complications seen with the various placement techniques are similar with similar approaches to management
Percutaneous Gastrostomy tubes: Trouble-shooting a leaking Percutaneous Endoscopic Gastrostomy
This topic will review the management of complications related to gastrostomy tube placement, with a focus on percutaneous endoscopic gastrostomy. Salvatori said, having a feeding tube can be difficult to navigate on the best days, and if you or a loved one is experiencing tube site irritation or leakage, it can be painful and challenging If you have a long tube, check and record its length
Keep the site clean and dry
Make sure the tube is well secured to the skin Flush after each feeding and medications Flush every 6 to 8 hours if on continuous infusions. Discontinuing tube feeds starting empiric antibiotics initiated obtain imaging and surgical consult disposition simple foreign body reaction
If leakage persists and the tract is mature, the tube can be removed for 48 to 72 hours, allowing the stoma diameter to reduce followed by insertion of the same size or smaller replacement gastrostomy tube There are many types of surgically placed feeding tubes, including both gastrostomy (g) and jejunostomy (j) tubes Complications with these tubes are commonly seen in the emergency department and this article provides a general overview of these complications and how they can be quickly and easily managed by the emergency physician. First, check what the drainage looks like
If white, yellow or green fluid that's thick and foul smelling drains around the tube, this may be normal drainage from the granulation.
Learn the difference between discharge and stoma leakage, and what to do if your child's stoma is leaking. Troubleshooting site irritation and tube leakage gina salvatori, registered dietitian with chc solutions, inc., provides advice on troubleshooting site irritation and tube leakage
