Feeding tube insertion - gastrostomy

• Alternative Names

  Gastrostomy tube insertion; G-tube insertion; PEG tube insertion; Stomach tube insertion; Percutaneous endoscopic gastrostomy tube insertion

• Description

  Gastrostomy feeding tube insertion is often done through the mouth, by a procedure called endoscopy. Before the tube is inserted, numbing medicine is applied on the area, and the patient is given sleep medicines through a vein.

  This procedure can also be done surgically while the patient is under general anesthesia (asleep and pain-free) A small, flexible, hollow tube with a balloon or special tip is inserted into the stomach through a small cut on the left side of the belly area. The surgeon uses stitches to close the stomach around the tube as well as the cut.

• Why the Procedure Is Performed

  Gastrostomy feeding tubes are put in for different reasons. They may be needed for a short while or permanently. This procedure may be recommended for:

  • Babies with birth defects 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 breathe in food when eating
• Risks

  Risks for any anesthesia are:

  • Reactions to medications
  • Problems breathing

  Risks for surgical or endoscopic feeding tube insertion are:

  • Bleeding
  • Infection
• After the Procedure

  This is most often a simple surgery with a good outlook.

• Outlook (Prognosis)

  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

Review Date: 5/8/2008

Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.