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A gastric feeding tube (G-tube or "button") is a tube inserted through a small incision in the abdomen into the stomach and is used for long-term enteral nutrition. One type is the percutaneous endoscopic gastrostomy (PEG) tube which is placed endoscopically. The position of the endoscope can be visualized on the outside of the person's abdomen ...
The feeding tube is attached to the guidewire and pulled through the mouth, esophagus, stomach, and out of the incision. [2] In the Russell introducer technique, the Seldinger technique is used to place a wire into the stomach, and a series of dilators are used to increase the size of the gastrostomy. The tube is then pushed in over the wire. [7]
The Stamm gastrostomy is an open technique, [4] requiring an upper midline laparotomy and gastrotomy, with the catheter brought out in the left hypochondrium.It was first devised in 1894 by the American Gastric Surgeon, Martin Stamm (1847–1918), who was educated greatly in surgery when he visited Germany.
A study conducted in the UK from 2014 through 2017, determined that 50% of feeding tubes secured with tape were lost inadvertently. [9] The use of bridle securement decreased the percentage of NGs lost from 53% to 9%. [9] Great care must be taken to ensure that the tube has not passed through the larynx into the trachea and down into the bronchi.
Buried bumper syndrome (BBS) is a condition that affects feeding tubes placed into the stomach (gastrostomy tubes) through the abdominal wall.Gastrostomy tubes include an internal bumper, which secures the inner portion of the tube inside the stomach, and external bumper, which secures the outer portion of the tube and opposes the abdomen.
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Video capsule: Used to perform video capsule enteroscopy: Endoscopy snare: Used to perform polypectomy and endoscopic foreign body removal: Band ligator: Used to perform variceal band ligation: Sengstaken–Blakemore tube: Used in the management of bleeding esophageal varices: Balloon dilator