Munson Health
 
Gastrostomy: Permanent and Temporary

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by Mahnke D
 

What to Expect

Prior to Procedure

Your doctor will likely do the following:
Leading up to your procedure:
  • Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
    • Anti-inflammatory medications, such as ibuprofen or naproxen
    • Blood thinners
    • Anti-platelet medications
  • Avoid food or fluids after midnight before surgery.
  • Arrange for a ride to and from the hospital.

Anesthesia

General anesthesia will be used. It will block any pain and keep you asleep through the surgery.

Description of the Procedure

If you are unable to undergo PEG, this will be done as an open procedure. In some cases, gastrostomy may be done at the same time as another stomach surgery. An incision will be made through the skin, abdominal wall, and into the stomach. A tube will then be placed through the skin and into the stomach. This tube will be stitched in place. The incision will be closed.

Immediately After Procedure

The doctor will make sure that the tube is placed correctly. You will be moved to the recovery room and monitored closely.

How Long Will It Take?

1 hour or longer

How Much Will It Hurt?

You will have pain after the surgery. Ask your doctor about medication to help with the pain.

Average Hospital Stay

This procedure is done in a hospital setting. The usual length of stay is several days. Your doctor may choose to keep you longer if complications arise.

Post-procedure Care

  • Depending on your condition, you may need to get nutrition through an IV for the first day or two after the tube placement or until your intestine is working normally. You will then be started on clear liquids. You will gradually move to thicker liquids.
  • Keep the tube insertion site clean and dry.
  • Wash your hands before touching the area.
  • Ask your doctor about when it is safe to shower, bathe, or soak in water.
  • If antibiotics are ordered, take all of the medication. Do not stop, even if you feel healthy.
  • Learn how to administer tube feedings. Also, learn how to flush out your tube. This will decrease the risk of blockages.
  • Learn what to do if you have a serious complication such as a dislodged tube or aspiration.
  • Be sure to follow your doctor’s instructions.
 

RESOURCES

American College of Gastroenterology
http://gi.org

American Society for Gastrointestinal Endoscopy
http://www.asge.org

 

CANADIAN RESOURCES

The Canadian Association of Gastroenterology
http://www.cag-acg.org

Health Canada
http://www.hc-sc.gc.ca

 

References


Central venous access catheters (CVAC) and gastrostomy (feeding) tubes. Society of Interventional Radiology website. Available at: http://www.sirweb.org/patients/gastrostomy/. Accessed December 6, 2013.


Gastrostomy tube (g-tube). Nemours' KidsHealth website. Available at: http://kidshealth.org/parent/system/surgery/g%5Ftube.html. Updated March 2013. Accessed December 6, 2013.


Gastrostomy tube (g-tube) home care. Cincinnati Children's website. ;Available at: http://www.cincinnatichildrens.org/health/g/g-tube-care/. Updated June 2012. Accessed December 6, 2013.

 

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