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Feeding tube insertion - gastrostomy

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Definition:

A gastrostomy feeding tube insertion is the placement of a feeding tube through the skin and the stomach wall, directly into the stomach.

Alternative Names:

Gastrostomy tube insertion; G-tube insertion; PEG tube insertion; Stomach tube insertion; Percutaneous endoscopic gastrostomy tube insertion

Description:

Gastrostomy feeding tube insertion is often done through the mouth, by a procedure called endoscopy. Local numbing medicines and intravenous sleep medicines are used.

This procedure can also be done surgically. While the patient is in deep sleep and pain-free (general anesthesia), a small cut is made on the left side of the stomach area. A small, flexible, hollow tube with a balloon or special tip is inserted into the stomach. The stomach is stitched closed around the tube and the cut is closed.

Indications:

Gastrostomy feeding tubes are put in for different reasons. They may be needed temporarily or permanently. Gastrostomy feeding tube insertion may be recommended for:

• Babies with birth abnormalities of the mouth, esophagus, or stomach (for example, esophageal atresia or tracheal esophageal fistula )
• Patients who cannot swallow correctly
• Patients who cannot take enough food by mouth to stay healthy
• Patients who often breath in food when eating

• Review Date: 10/13/2006
• Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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