Feeding Tube Insertion (Gastrostomy)

What is a feeding tube?

A feeding tube may be a device that’s inserted into your stomach through your abdomen. It’s used to provide nutrition after you have to bother eating. Feeding tube insertion is additionally referred to as percutaneous endoscopic gastrostomy (PEG), esophago gastroduo denoscopy (EGD), and G-tube insertion.

This treatment is reserved for after you have to bother feeding on your own, because of reasons like the following:

  • You have an abnormality of your mouth or esophagus, that is that the tube that connects your throat to your stomach.
  • You have issue swallowing or keeping food down.
  • You aren’t obtaining enough nutrition or fluids orally.

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Conditions that may cause you to problem eating include:

  • stroke
  • burns
  • cerebral palsy
  • motor neuron unwellness
  • dementia
  • The treatment can even be done if you would like it to receive certain medications.

Do I need to arrange for the procedure?

This procedure is performed in a very hospital or clinic.

Before you start, tell your doctor concerning any medications you’re taking, together with blood thinners like warfarin (Coumadin), aspirin (Bufferin), or clopidogrel (Plavix). You’ll have to stop taking blood thinners or anti-inflammatory medications one week around before the procedure.

Your doctor will have to understand if you’re pregnant or have sure conditions, such as:

  • diabetes
  • allergies
  • heart conditions
  • lung conditions

If you’ve got diabetes, your oral medications or insulin might need to be adjusted the day of the procedure.

Your doctor performs a gastrostomy using an endoscope, that may be a flexible tube with a camera connected. you’ll run anesthesia to form you more well-off. this could cause you to drowsy following the procedure. Before the procedure, attempt to have somebody drive you home.

This procedure needs you to quick. Typically, doctors raise that you just abstain from eating eight hours before the procedure. Most people will come home the identical day because of the procedure or the subsequent day.

How is that the endoscope inserted?

Before the procedure, you wish to get rid of any jewelry or dentures. You’re then given an anesthetic and one thing to relieve pain.

Once you’re sleeping down on your back, your doctor will place the endoscope in your mouth and down your esophagus. The camera helps the doctor visualize your stomach lining to make sure that the feeding tube is positioned properly.

When your doctor will see your abdomen, they create a small incision in your abdomen. Next, they insert the feeding tube through the gap. They then secure the tube and place a sterile dressing around the web site. There is also a bit voidance of bodily fluids, like blood or pus, from the wound.

The whole procedure sometimes lasts but an hour.

The feeding tube is often temporary or permanent, looking on the first reason for the feeding tube.

After the procedure

Plan on resting once the procedure. Your abdomen ought to heal in regarding 5 to seven days.

After the tube is inserted, can} meet with a dietician who will show you the way to use the tube for feeding. Your dietician will educate you on a way to take care of the tube.

Drainage around the tube is traditional for every day or 2, and a nurse can most likely change your dressing on an everyday basis. Feeling pain for some days around the place wherever the incision was created is traditional. Ensure to stay the realm dry and clean to avoid skin irritation or infection.

Risks factors

There are some risks related to the procedure, however, they aren’t common. Risks embody hassle breathing and nausea from the medication. Excessive hurt and infection are risks whenever you’ve got surgery, even with a minor procedure like a feeding tube insertion.

When to decision the doctor

Before you allow the hospital or clinic, ensure you recognize a way to take care of your feeding tube and once you have to contact a doctor. 

You must contact your doctor if:

  • the tube comes out
  • you have hassle with the formula or if the tube becomes blocked
  • you notice hurt around the tube insertion website
  • you have voidance round the website once many days
  • you have signs and symptoms of an infection, together with redness, swelling, or a fever

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Kushal Parekh

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