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Troubleshooting site irritation and tube leakage gina salvatori, registered dietitian with chc solutions, inc., provides advice on troubleshooting site irritation and tube leakage This article endeavors to investigate the causes of gastrostomy tube leakage and the do's and don't's of its management. Salvatori said, having a feeding tube can be difficult to navigate on the best days, and if you or a loved one is experiencing tube site irritation or leakage, it can be painful and challenging

First described in 1980 by gauderer et al,1 placement of a percutaneous endoscopic gastrostomy (peg) tube has become an indispensable and routine procedure for providing enteral nutrition The focus of this article is on gastrostomy tube leaks The frequency of peg tube placement has increased over the years based on medicare claims data,2 and is projected to increase given the increase in the elderly population

Minor complications range from 13%.

Discontinuing tube feeds starting empiric antibiotics initiated obtain imaging and surgical consult disposition simple foreign body reaction Gastrostomy tubes may be placed endoscopically, surgically, or radiologically Many of the complications seen with the various placement techniques are similar with similar approaches to management This topic will review the management of complications related to gastrostomy tube placement, with a focus on percutaneous endoscopic gastrostomy.

There are many types of surgically placed feeding tubes, including both gastrostomy (g) and jejunostomy (j) tubes Complications with these tubes are commonly seen in the emergency department and this article provides a general overview of these complications and how they can be quickly and easily managed by the emergency physician. If you have a long tube, check and record its length Keep the site clean and dry

Make sure the tube is well secured to the skin

Flush after each feeding and medications Flush every 6 to 8 hours if on continuous infusions. Sometimes the blockage can be aspirated out using a syringe If the tube is too small for the opening, it may need replacement with a larger tube

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