Enteral Tubes Placement and Management

Long term enteral indwelling feeding tubes are placed by a healthcare prescriber.

Feeding Tube Requirements:

Gastrostomy tubes (G-tubes) are placed either surgically (called a Stamm procedure), endoscopically, or in some cases, by interventional radiology.

  1. G-tubes are placed directly into stomach by either open or laparoscopic surgery.
  2. Percutaneous endoscopic gastrostomy (PEG) tube are placed endoscopically.
  3. Jejunostomy tubes (J-tubes) can be placed by similar procedure.

 

Equipment Needed for G and/or J-tubes changes or replacement:

  1. Balloon-type with 5 ml balloon (size 8 to 20 French) or mushroom-type catheter and introducer
  2. Water soluble lubricant
  3. Sterile water 5 ml syringe
  4. Nonsterile gloves
  5. Tape
  6. Tape measure
  7. Catheter adapter (optional)

For indwelling enteral tube skin care with dressing change:

  1. Gauze
  2. 2X2 split gauze
  3. Water
  4. Cleansing solution (e.g. normal saline)
  5. Cotton tipped applicator
  6. Paper tape (1 inch)
  7. External anchor as needed
  8. Antibiotic ointment
  9. Nonsterile gloves tape measure

Contact healthcare provider if:

  1. Child experiences signs and symptoms of intolerance to enteral feedings
  2. Tube dislodgement or malposition occur
  3. Mechanical tube problems occur
  4. Stoma site problems occurs