A gastrostomy feeding tube insertion is the placement of a feeding tube through the skin and the stomach wall, directly into the stomach.
Find out how to care for a gastronomy tube (GT):
Gather and set up equipment:
a. Warm tap water
b. Mild soap (if needed)
c. Cloth adhesive tape (unless patient's skin becomes red from the tape)
d. Ear swabs
Clean skin around GT area (twice a day, or as instructed)
Remove old tape gently. Do not pull the tube away from the belly
Check the skin and tube for changes
a. Skin: Redness, drainage, tenderness, open areas, bleeding or skin temperature changes
b. Tube: Cracks and leakage (be sure it is pulled against the stomach wall)
c. Contact Neil Ead, CPNP at 401-350-1757 or contact the pediatric surgeon on call at 401-444-5611 (ask operator to call the pediatric surgical resident)
Wash the site in a circular motion from the center of the tube toward the outside of the belly using the ear swabs.
Tape the tube to keep it in place. Be sure it is fixed firmly to the skin and it is taped downward
Be sure the GT is hidden away from your child's hand & feet so it is not accidentally pulled out (for example, under clothes)
Travel with a 14Fr. Foley Catheter, luberfax, paper towels or, better yet, make sure that you always carry a replacement tube (MICKey button) of the same size.
Lets the feeding back up into an empty syringe instead of vomiting
Tie catheter tip syringe with string to keep it above stomach level.
Be careful that the tube is not pulling on the belly.
Flush the tube with tap water before and after feeds and every 4 hours. This helps to make sure that tube will not clog.
Place the feeding tube inside the syringe and operate the tube
If the tube backs up, try to flush it with water. If this does not work, check the position of the tube, milk the tube and then flush it again.
This set-up is kept even if the feeding is done or when traveling. (Be sure to pin strings higher than the stomach (e.g., to the shirt). The tubing is only clamped with the surgeon's instruction. This will be done slowly, when changing from vented to direct feeds.
Give half hour before feeds or 1 hour after feeds.
Formula that is too hot or too cold, or given too quickly, can cause vomiting, diarrhea or cramping.
Signs of feeding intolerance: Vomiting, diarrhea, discomfort, distention or continuous backup in the tube greater than one quarter of the feeding volume.