Can You Give Babies With a G Tube Water

What is a gastrostomy tube?

A gastrostomy tube, frequently called a G-tube, is a surgically placed device used to requite direct access to your child'south tum for supplemental feeding, hydration or medication. G-tubes are used for a variety of medical weather, just the nearly common use is for feedings to raise your kid'due south nutrition. When a child is unable to eat plenty food by oral fissure, a G-tube helps evangelize enough calories and nutrients to support their growth.

Types of G-tubes

There are many dissimilar types of gastrostomy tubes that may exist used to assistance your child. The blazon of tube selected depends on each patient's unique medical condition. Your kid'due south doctor will determine the best type of G-tube for your child and explicate this in detail at the time of the evaluation. Below are ii of the nigh common types of 1000-tubes to help you empathise what to expect. Some names of tubes which may exist placed include: AMT mini-one, MIC, MIC-Cardinal, and Cor-Pak.

Low-profile tubes

Ane of the nearly common types of M-tubes is a low-profile tube sometimes called a "button." This type of tube lays on superlative of the intestinal wall and is kept in place in the stomach by a water-filled balloon. A special extension tube is attached when administering medications or feedings. During your child's hospital admission, you lot will learn how to apply, clean and care for the 1000-tube.

Low Profile Button G-Tube (above epitome)
This image shows a commonly used G-tube called a low-profile push button. This type of tube is placed surgically in the operating room. It creates a path to the breadbasket so nutrition and medications tin can exist administered direct. Most tubes have a water-filled balloon which helps continue the tube securely in identify in the stomach.

Long tubes

Sometimes a longer tube is used instead of the depression-contour button. These longer tubes are also surgically placed into the tummy and held in identify with either stitches or a water-filled balloon.

Sometimes a Hollister dressing is kept in identify around a long tube. A Hollister dressing is a large circular dressing that allows the tube to stay in place with a ziplock-type device. If a long tube is the right choice for your kid, we will teach you how to employ and care for it. Nosotros will too show you how to keep information technology secure and modify the dressing.

How is a G-tube placed?

G-tubes can exist placed surgically in the operating room, or percutaneously, through a small-scale incision, past a radiologist. Your child's doctor will determine the best procedure for your kid.

Surgically placed 1000-tube

If a surgically placed tube is needed, it will be placed by a pediatric surgeon in the operating room. The surgeon will make one or more small incisions in the belly area, then make an opening into the breadbasket called a stoma. A tube will be placed through the abdomen opening and into the stomach.

Preparing for G-tube surgery

Y'all and your child will come across with one of the full general surgeons at Children's Infirmary of Philadelphia (CHOP) for an appointment prior to G-tube surgery. At this engagement, we will explicate the details of the procedure and y'all'll accept a chance to ask questions and address any concerns. The procedure will and so be scheduled for a afterwards engagement.

Following surgery, all children will be admitted to the hospital for a few days to safely brainstorm feedings. During this admission, you will be taught how to care for the G-tube, including how to administrate feedings, how to clean and intendance for the stoma, and how to utilize a gauze dressing if needed.

Follow-up later G-tube surgery

Your child volition be seen for an appointment with general surgery about 4 to six weeks afterwards being discharged from the infirmary. In many instances, the Yard-tube will be changed at this appointment. Additional follow-ups will be scheduled, if needed.

Percutaneous endoscopic gastrostomy (PEG) tube placement

When to call your medico

Although G-tubes are mostly piece of cake to use without much maintenance, in that location are some potential problems your child may experience. If you have any concerns nigh your child'south G-tube, please call us immediately. We tin can hash out whether your child should be seen in our dispensary or if they require immediate, emergency medical attention.

Dislodgement

Most tubes are secured by a balloon within the abdomen or by stitches, but they can still go dislodged or removed from the stomach. If this happens earlier your first follow-up engagement, delight call your child'south surgeon immediately. If this happens after your start alter, a parent/caregiver or trained professional person tin can replace the G-tube. If y'all take concerns nigh dislodgement of your child'southward tube, please telephone call your child's surgeon.

Leaking

Leaking around a G-tube is common. You will learn how to apply a dressing under the tube, like a piece of gauze, in case the G-tube leaks. Sometimes the drainage becomes excessive and will soak the dressing very quickly. If this is the case, telephone call your kid's surgeon or pediatrician to make an appointment to take your child's G-tube evaluated.

Granulation tissue

Granulation tissue is typically night pink or cerise and is the body'due south natural response to the tube. This tissue may cause some leakage and irritation around your child'southward G-tube site. Granulation tissue can be treated with topical steroid creams or with cauterization with argent nitrate. If you have a concern about granulation tissue, call your child's intendance team to discuss and to determine whether your kid needs an appointment for an evaluation.

Reviewed by: Surgical Advanced Practice Nurses
Date: July 2019

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Source: https://www.chop.edu/treatments/gastrostomy-tubes

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