Silicone Gastrostomy Feeding Tube
The Gastrostomy Feeding Tube with fixed ball, tip style are indicated for use in patients who require long term feeding, are unable to tolerate oral feeding, who are at low risk for aspiration, require gastric decompression and/ or medication delivery directly into the stomach.
Contraindications
Contraindications for placement of a gastrostomy feeding tube include, but are not limited to ascites, colonic interposition, portal hypertension, peritonitis and morbid obesity.



Advantages
1. Minimizing trauma during surgery.
2. Made of 100% medical grade silicone, the tube is soft & clear.
3. X-ray opaque line through the whole tube.
4. The balloon is glued to the main tube both inside and outside, it is elastic and flexible.
5. Fully equipped, easily operated.
6. Good biocompatibility.
7. Y Type locking joint, no leakage.
8. The size from 12Fr to 24Fr, color code for distinguish different size.
Placement
The Gastrostomy feeding tube may be placed surgically , percutaneously under fluoroscopic or endoscopic guidance or as a replacement to an existing device using an established stoma tract.
Tube Preparation
1. Select the appropriate gastrostomy feeding tube, remove from the package and inspect for damage.
2. Using a syringe, inflate the balloon with sterile or distilled water through the balloon port (Fig 1C).
●Inflate the balloon with 3-5 ml. of sterile or distilled water for low volume tubes identified by LV following the REF code number.
●Inflate the balloon with 10-20 ml. sterile or distilled water for Standard tubes.
3. Remove the syringe and verify balloon integrity by gently squeezing the balloon to check for leaks. Visually inspect the balloon to verify symmetry. Symmetry may be achieved by gently rolling the balloon between the fingers. Reinsert the syringe and remove all the water from the balloon.
4. Lubricate the tip of the tube with a water soluble lubricant. Do not use mineral oil.
Do not use petroleum jelly.
Suggested Radiologic Placement Procedure
1. Place the patient in the supine position.
2. Prep and sedate the patient according to clinical protocol.
3. Insure that the left lobe of the liver is not over the fundus or the body of the stomach.
4. Identify the medial edge of the liver by CT scan or ultrasound.
5. Glucagon 0.5 to 1.0 mg IV may be administered to diminish gastric peristalsis.
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