After percutaneous endoscopic gastrostomy (PEG) surgery, don't forget to change the feeding tube on time. Normally, the silicone gastrostomy tube is first choise. Nutritional problems are quite common among hospitalized patients. For malnourished patients, nutritional supplementation has changed from "support" to "treatment." Compared with parenteral nutrition, enteral nutritionhas many advantages, but enteral nutrition requires a pipeline(gastrostomy. For patients who need long-term enteral nutrition, nasogastric tubes are inconvenient, while percutaneous endoscopic gastrostomy (PEG) surgery has some advantages.
While PEG brings convenience to everyone, it will also cause some problems due to non-compliant maintenance, such as diarrhea, fistula infection, excessive granulation tissue, and tube removal.
Previously, I encountered customers who had difficulty in removing the tube due to long-term failure to replace the PEG tube. Generally, the replacement tube can be replaced after the gastrostomy grows well. Usually the G tube can be used for 3 months, and in special cases it is best to replace the G tube for no more than half a year. Because if it is not replaced for a long time, the catheter(G-tube) is easy to harden, and the lumen may be narrowed, making it difficult to inject nutrient solution, and then causing malnutrition. At the same time, the catheter(G-tube) may be corroded and broken by gastric juice in the body, and go down into the intestine, even cause intestinal obstruction. Moreover, the mushroom head or gasket in the stomach becomes hard, which will make it difficult to remove the tube. If the tube is forcibly removed, it will not only increase the patient's pain, but also may cause damage to the gastric mucosa and even perforation.
Then how to choose a repacement tube? Below is ZKSK's silicone gastrostomy tube. You can see details from the structure.
Structural schematic diagram of the gastrostomy tube
1. Balloon. The shape of our products' balloon is apple. The balloon tip has been upgraded. After the balloon is inflated, the front part of the tube does not protrude from the balloon design, making it less likely to touch the posterior wall of the stomach, thus reducing the occurrence of pressure ulcers on the contralateral stomach wall. It is safe, comfortable, and relieves the patient's pain.
Bolster. Secure the tube so it doesn't shake. Have 2 types of it, one is round bolster, the other one is designed to be bent 90° to fit it in the belly.
2. Tube. The tube size is from 12Fr to 24Fr. The R&D team is working on 26Fr to meet the needs of different patients.
3. 3-way adapter. Also have 2-way option to choose.
4. Balloon Inflating Adapter. Without metal spring, easy for physical examination.
5. Feeding/Injection Adapter.
6. Available for 2 types, Y connector and Enfit connector.
7. Same with 6.
Above is for refering and sharing. If you or your family have a gastostomy, please ask your doctor or healthcare for any questions or changes. All the home care people can do is follow the tips to provide nutrition or meds and take care of the tubes. If things happened, call a doctor at once.
