What should be considered when selecting the type of tube for a 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

Ideally, the patient arrives in the emergency department (ED) with the dislodged gastrostomy tube (G-tube). The same tube or same type of tube can be placed. The fact that the G-tube was dislodged often indicates a malfunction with that particular tube (eg, balloon rupture); thus, a new tube should be used. When information on the tube type is not available or known to the patient, a dedicated feeding tube suffices. If no feeding tube is accessible, a Foley catheter (≥16 French) can be used temporarily until a dedicated feeding tube can be placed.


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