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Other risk factors for buried bumper include rigid tubes, sharp short bumpers, malnourished patients with subsequent weight gain, systemic corticosteroids, and chemotherapy This article endeavors to investigate the causes of gastrostomy tube leakage and the do's and don't's of its management. 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.
Gastrostomy tubes may be placed endoscopically, surgically, or radiologically The focus of this article is on gastrostomy tube leaks 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.
Leakage of gastric contents around the tube indicates that the percutaneous tract is too large for the tube Management should include the physician or service responsible for placing the tube, and may include Persistent leakage from a gastrocutaneous fistula (gcf) created for the purpose of percutaneous endoscopic gastrostomy (peg) tube placement is a common problem in elderly patients Conservative methods often prove unsuccessful and surgical closure is usually not performed because of poor surgical risk
With advances in endoscopic technology, several nonsurgical approaches. Troubleshooting site irritation and tube leakage 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 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
Indicating infected gastrostomy site or misplaced tube
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