Your doctor can easily remove or replace a tube without sedatives or anesthesia, although your doctor might opt to use sedation and endoscopy in some cases. Your doctor will remove the tube using firm traction and will either insert a new tube or let the opening close if no replacement is needed.
PEG sites close quickly once the tube is removed, so accidental dislodgment requires immediate attention. It does not provide definitive medical advice. It is very important that you consult your doctor about your specific condition. How is the PEG performed? Who can benefit from a PEG? How should I care for the PEG tube? How are feedings given?
Can I still eat and drink? Are there complications from PEG placement? The surgeon inserts an endoscope a thin, flexible tube with a tiny camera and light at the tip through the mouth and into the stomach to guide the G-tube into place.
Putting in a G-tube takes only about 30 to 45 minutes. The nurses will teach you how to: Care for the tube and the skin around it to keep it clean and infection-free. Handle potential problems, such as the tube accidentally falling out.
Give a feeding through the tube. You will also learn what to feed. Help your child eat independently, if the doctor says it's OK. By the time your child is ready to go home, you should have: detailed instructions on home care, including bathing, dressing, physical activity, giving medicines through the tube, and venting releasing gas from the tube a visit scheduled with a home health care nurse to make sure things are going smoothly follow-up visits scheduled with your doctor to check the tube and your child's weight Are There Any Risks From G-Tube Placement?
Complications of surgery can include: extra tissue granulation tissue forming at the tube site leaking problems from anesthesia bleeding an allergic reaction infection Granulation tissue or leaking can usually be fixed by caring for the wound as instructed or changing the feeding schedule.
Here are some tips: Always wash your hands well before caring for the G-tube. Know what to expect as the G-tube heals. Talk to your child's care team if you have questions. Get support from other parents. It can help to connect with other parents whose kids have G-tubes. Ask your child's doctor about a support group, or look online. Talk with a social worker. Some kids with a G-tube worry about how the tube looks and how others might react.
If your child is concerned, ask your care team to recommend a social worker who can help. When Should I Call the Doctor? Call your doctor if your child has any of these problems: a dislodged tube a blocked tube any signs of infection including redness, swelling, or warmth at the tube site; discharge that's yellow, green, or foul-smelling; fever excessive bleeding or drainage from the tube site severe belly pain vomiting or diarrhea that keeps happening trouble passing gas or having a bowel movement pink-red tissue coming out from around the tube Most problems can be treated quickly when they're found early.
After cleaning, dry the area using a small gauze pad to cover it. Don't let the gauze or the tube bumper become too tight against your belly. They should be loose. You should be able to gradually return to normal activities, depending on your overall condition. Ask your healthcare provider about any activity restrictions.
Use of the PEG tube for feeding begins gradually with clear fluids and progresses to special formula feedings. There is a lot to learn about using and caring for a PEG tube. You will need to work closely with your medical team. The team may include healthcare providers, pharmacists, and nutrition specialists. You will probably be told to make sure you are always upright when feeding.
You may still be able to eat by mouth. Talk this over with your healthcare team. Search Encyclopedia. Why might I need a PEG tube? Some common conditions in which a PEG tube may be recommended include: Birth defects Problems swallowing Stroke Cancer of the mouth or esophagus Diseases of the esophagus A PEG tube may be placed if you have a long-term condition that will not allow you to swallow.
What are the risks of PEG tube placement? Some potential risks of PEG tube insertion include: Reactions to the anesthesia Pain Leakage of stomach contents around the tube Infection of the tube site Infection that spreads inside the belly Aspiration Bleeding from the incision area Bleeding or infection from damage to other organs inside the belly Blockage or dislodging of the tube There may be other risks, depending on your specific medical condition.
How do I get ready for a PEG tube placement? If you smoke, you may be asked to stop smoking well before surgery. Wear loose, comfortable clothing on the day of surgery. What happens during a PEG tube placement? This is what usually happens during the procedure: The skin over your belly is cleaned and a numbing medicine is injected.
The endoscope is passed through your mouth into your stomach. A small surgical cut is made through your skin and into your stomach. A small dressing is placed at the new opening.
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