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.

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

Risks:

Risks for any anesthesia are:

• Reactions to medications
• Problems breathing

Risks for surgical or endoscopic feeding tube insertion are:

• Bleeding
• Infection

Expectations after surgery:

This is a relatively simple surgery with a good prognosis.

Convalescence:

The stomach and abdomen will heal in 5 to 7 days. Moderate pain can be managed with medications. Feedings will start slowly with clear liquids and gradually be increased.

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 (decompress) the stomach through the tube
• How and what to feed through the gastrostomy tube
• How to conceal the tube under clothing
• What normal activities can be continued