Replacement Feeding Tube

The Gastrostomy Feeding Tube allow for delivery of enteral nutrition and medication directly into the stomach and/or gastric decompression. It is intended used for oral feeding difficulties, but gastrointestinal function is normal, the need for long-term nutritional support, including Neurotic coma, anorexia, Alzheimer’s disease. Mainly suitable for Gastrostomy patients. Puncture the stomach cavity by a trocar through the abdominal wall with the endoscope, then put the guide wire in, which is inserted to guide the gastrostomy tube to enter the stomach cavity through the mouth and esophagus, thus forming the gastrostomy.

A gastrostomy tube (G-tube) -Replacement feeding tube is recommended for individuals with dysphagia brought on by a variety of diseases who require long-term enteral nutritional supplementation. Due to its less invasive nature and quicker start-up time than surgical gastrostomy, endoscopic gastrostomy tube installation is now the method of choice. [1] A small incision is made across the anterior abdominal wall during endoscopic gastrostomy tube placement, and the tube is then introduced either by the push method (the tube is put percutaneously via the incision) or the pull technique (the tube is pulled out from the stomach through the incision). Within 2-4 weeks of the tube's placement, a fistulous gastrocutaneous tract forms.

However, tract maturity is further delayed in several circumstances, including severe starvation, people with impaired immune systems, and big ascites. Endoscopic replacement is advised if a percutaneous gastrostomy endoscopic (PEG) tube becomes loose within a month of installation.

However, bedside replacement is typically adequate if the tube becomes loose after 4 to 6 weeks, when tract maturity is anticipated. As peritoneal spilling of stomach contents through the immature track puts patients at serious danger of peritonitis and perforation if the tube becomes dislodged within 4 weeks of initial installation, replacement should not be attempted without surgical consultation. Inadvertent introduction of the tube into the peritoneal cavity can result from a blind attempt to re-insert it or even from foley implantation in an immature tract. In this review paper, we talk about Replacement feeding tube in adult patients whose gastrocutaneous tracts have fully developed.

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