What is gastrostomy tube replacement?

Updated: May 26, 2020
  • Author: Erik D Schraga, MD; Chief Editor: Vikram Kate, MBBS, MS, PhD, FRCS, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

Gastrostomy tube (G-tube) placement (placing a tube into the stomach) [1, 2] to provide nutrition and medication for patients unable to feed themselves was first described in the mid-19th century. Initially, this procedure was often complicated by the development of peritonitis and a high mortality. Currently, however, G-tube placement now routinely occurs with few complications when done percutaneously and guided by endoscopy or interventional radiology techniques. [3] Neurologic disease is the most common indication for G-tube placement. [4]

Patients with dislodged G-tubes often present to the emergency department (ED) or another acute care setting to have their tube replaced. This article focuses on G-tube replacement, but the technique can be extended to duodenostomy and jejunostomy tubes as well. [5]


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