Enteral Tubes Placement and Management
Long term enteral indwelling feeding tubes are placed by a healthcare prescriber.
Feeding Tube Requirements:
- Must have an internal stabilizer to keep the tube from falling out.
- Must also have an external stabilizer to keep the tube in the correct position and prevent tube migration in to gastrointestinal (GI) tract.
Gastrostomy tubes (G-tubes) are placed either surgically (called a Stamm procedure), endoscopically, or in some cases, by interventional radiology.
- G-tubes are placed directly into stomach by either open or laparoscopic surgery.
- Percutaneous endoscopic gastrostomy (PEG) tube are placed endoscopically.
- Jejunostomy tubes (J-tubes) can be placed by similar procedure.
Equipment Needed for G and/or J-tubes changes or replacement:
- Balloon-type with 5 ml balloon (size 8 to 20 French) or mushroom-type catheter and introducer
- Water soluble lubricant
- Sterile water 5 ml syringe
- Nonsterile gloves
- Tape measure
- Catheter adapter (optional)
For indwelling enteral tube skin care with dressing change:
- 2X2 split gauze
- Cleansing solution (e.g. normal saline)
- Cotton tipped applicator
- Paper tape (1 inch)
- External anchor as needed
- Antibiotic ointment
- Nonsterile gloves tape measure
Contact healthcare provider if:
- Child experiences signs and symptoms of intolerance to enteral feedings
- Tube dislodgement or malposition occur
- Mechanical tube problems occur
- Stoma site problems occurs