Is a Feeding Tube?
A feeding tube is
a device that’s inserted into your stomach through your abdomen. It’s used to
supply nutrition when you have trouble eating. It’s also called percutaneous
endoscopic gastrostomy (PEG), esophagogastroduodenoscopy (EGD), and G-tube
This treatment is reserved for when you have trouble eating on
your own. This can be because:
- you have a deformity of your mouth or esophagus,
which is the tube that connects your throat to your stomach
- you have difficulty swallowing or keeping food
- you aren’t getting enough nutrition or fluids by
The treatment can also done if you need it to receive certain
I Need to Prepare for the Procedure?
This procedure is performed in a hospital or clinic. Before you
begin, tell your doctor about any medications you’re taking, including blood
thinners such as warfarin
(Coumadin), aspirin, or clopidogrel
(Plavix). You’ll need to stop taking blood thinners or anti-inflammatory
medications one week or so before the procedure. Your doctor will also need to
know if you have certain conditions such as:
- heart conditions
- lung conditions
If you have diabetes, your oral medications or insulin may have
to be adjusted the day of the procedure.
Your doctor will perform
a gastrostomy using an endoscope,
which is a flexible tube with a camera attached. You may be given anesthesia to
make you more comfortable. This may make you drowsy following the procedure.
Arrange before the procedure to have someone available to drive you home.
This procedure requires you to fast. Typically, doctors ask that
you abstain from eating eight hours before the procedure. Most people can
return home the same day as the procedure or the following day.
Is the Endoscope Inserted?
During the procedure, you’ll be asked to remove any jewelry or
dentures. You’ll then be given an anesthetic and something to relieve the pain.
You’ll lie on your back. Your doctor will place the endoscope in your mouth and down your esophagus. The camera will
help the doctor visualize your stomach lining to ensure that the feeding tube
is positioned properly.
When your doctor can see your stomach, they’ll make a small
incision in your abdomen. Next, they’ll insert the feeding tube through the
opening. They will secure the tube and place a sterile dressing around the
site. There may be a little drainage of bodily fluids, such as blood or pus,
from the wound. The whole procedure usually lasts less than an hour.
The feeding tube can be temporary or permanent, depending on the primary
reason for the feeding tube.
The medicine may make you drowsy. Plan on resting after the
procedure. Your abdomen should heal in about five to seven days. After the tube
is inserted, you may meet with a dietician who will show you how to use the
tube for feeding. Your dietician will also educate you on how to care for the
Drainage around the tube is normal for a day or two, and a nurse
will probably change your dressing on a regular basis. Feeling pain for a few
days around the place where the incision was made is normal. Make sure to keep
the area dry and clean to avoid skin irritation or infection.
There are some risks associated with the procedure, but they
aren’t common. Risks include trouble breathing and nausea from the medication.
Excessive bleeding and infection are risks whenever you have surgery, even with
a minor procedure such as a feeding tube insertion.
to Call the Doctor
Before you leave the hospital or clinic, make sure you know how
to care for your feeding tube and when you need to contact a doctor. You should
call your doctor if:
- the tube comes out
- you have trouble with the formula or if the tube
- you notice bleeding around the tube insertion
- you have drainage around the site after several
- you have signs and symptoms of an infection,
including redness, swelling, or a fever