What are best practices in 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

Quickly attempt to obtain details of the G-tube type and placement date prior to replacement.

If the G-tube site looks fresh and tract maturation is uncertain, call the placement provider for guidance.

Place the largest catheter that passes easily into the ostomy as soon as possible to prevent tract narrowing and closure.

If no specialized G-tube is available, use a 16-French Foley catheter to keep the tract open temporarily until a G-tube can be obtained.


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