Feeding tube insertion - gastrostomy

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

Indications

Gastrostomy feeding tubes are put in for different reasons. They may be needed temporarily or permanently. Gastrostomy feeding tube insertion may be recommended for:

  • Babies with birth abnormalities 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 breath in food when eating

Convalescence

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

Expectations after surgery

This is a mostly simple surgery with a good outlook.

Risks

Risks for any anesthesia are:

  • Reactions to medications
  • Problems breathing
Risks for surgical or endoscopic feeding tube insertion are:
  • Bleeding
  • Infection
Gastrostomy tube placement - series
Gastrostomy tube placement - series
Review Date: 10/13/2006
Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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