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
Expectations after surgery:
This is a mostly simple surgery with a good outlook.
Convalescence:
The stomach and abdomen will heal in 5 to 7 days. Moderate pain can be treated with medications. Feedings will start slowly with clear liquids, and increase slowly.
The patient/family will be taught:
- How to care for the skin around the tube
- Signs and symptoms of infection
- What to do if the tube is pulled out
- Signs and symptoms of tube blockage
- How to empty the stomach through the tube
- How and what to feed through the tube
- How to hide the tube under clothing
- What normal activities can be continued
