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Feeding tube insertion - gastrostomy
Alternative namesThis is an insertion of a feeding tube into the stomach.
This is often done through endoscopy (a long tube placed through the mouth into the stomach) by a gastroenterologist. Local anesthesia and intravenous sedation are used.
It may also be done surgically. While the patient is deep asleep and pain-free (general anesthesia), a small incision is made on the left side of the abdomen. A small, flexible, hollow tube (catheter) with a balloon or flared tip is inserted into the stomach. The stomach is stitched closed around the tube and the incision is closed.
IndicationsGastrostomy tubes are inserted for various reasons. They may be needed temporarily or permanently. Gastrostomy tube insertion may be recommended for:
RisksRisks for any anesthesia are:
Expectations after surgeryThis is a relatively simple surgery with a good prognosis.
ConvalescenceThe stomach and abdomen will heal in 5 to 7 days. Moderate pain can be managed with medications. The patient will be fed intravenously (IV) instead of by mouth for at least 24 hours. Feedings will begin when bowel sounds are heard. Feedings will start slowly with clear liquids and gradually be increased.
The patient/family will be taught:
Update Date: 4/29/2003A.D.A.M. editorial. Previous review: Jenifer K. Lehrer, M.D., Department of Gastroenterology, Graduate Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network (11/4/2001).
Last updated: Tue, 06 Jan 2009 00:20:03 GMT