Feeding tube insertion - gastrostomy

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

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Feeding tube insertion - gastrostomy

Definition:

This is an insertion of a feeding tube into the stomach.

Alternative Names:
Gastrostomy tube insertion; G-tube insertion; PEG tube insertion; Stomach tube insertion; Percutaneous endoscopic gastrostomy tube insertion
Description:

This is often done through endoscopy (a long tube placed through the mouth into the stomach) by a gastroenterologist. Local anesthesia and intravenous sedation are used.

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It may also be done surgically. While the patient is deep asleep and pain-free (general anesthesia), a small incision is made on the left side of the abdomen. A small, flexible, hollow tube (catheter) with a balloon or flared tip is inserted into the stomach. The stomach is stitched closed around the tube and the incision is closed.

Indications:

Gastrostomy tubes are inserted for various reasons. They may be needed temporarily or permanently. Gastrostomy tube insertion may be recommended for:

Birth defects of the mouth, esophagus, or stomach (esophageal atresia or tracheal esophageal fistula)
Patients who cannot swallow correctly
Malnourished patients who cannot take enough food by mouth to maintain their nutrition
Patients who continually aspirate when eating