What are indications for 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

A G-tube should be replaced as quickly as possible in the ED, unless the tube was recently placed.

A feeding tube tract can narrow or close within hours of tube removal.

A simple gastrostomy requires approximately 1-2 weeks to form a tract. [6] More complicated procedures, such as the Witzel tunnel, may take 3 weeks to create a mature tract.

If the tract appears fresh, immediately contact the provider who placed the tube before initiating ED replacement; operative or fluoroscopic replacement may be required.


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