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Gastrostomy tubes may be placed endoscopically, surgically, or radiologically If the tube is too small for the opening, it may need replacement with a larger tube 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. Sometimes the blockage can be aspirated out using a syringe Other risk factors for buried bumper include rigid tubes, sharp short bumpers, malnourished patients with subsequent weight gain, systemic corticosteroids, and chemotherapy
Common presenting signs and symptoms include leakage around the peg tube, an inability to rotate or insert the tube, difficulty administering tube feeds, and abdominal pain.
Where the resident has a percutaneous gastrostomy tube management plan, follow the plan. Gastrocutaneous fistula is a common complication in elderly patients after removal of gastrostomy tubes Simple endoscopic procedures have shown promising results in the treatment of this complication. Complete removal of the peg with the intent of tract closure and subsequent placement of a new peg at an alternate location leakage of gastric fluid into the peritoneal cavity results in chemical and bacterial peritonitis
Discontinuing tube feeds starting empiric antibiotics initiated obtain imaging and surgical consult Gina salvatori, registered dietitian with chc solutions, inc., provides advice on troubleshooting site irritation and tube leakage 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. This article endeavors to investigate the causes of gastrostomy tube leakage and the do's and don't's of its management.
Indicating infected gastrostomy site or misplaced tube
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