Gastrostomy feeding tube placement is a procedure for putting a tube directly into your child’s stomach through the belly wall. The tube can be used to give your child fluid, liquid food, and medicines.
This procedure may be done if your child cannot eat or swallow normally. For example, your child may need a gastrostomy feeding tube if:
Before having a gastrostomy feeding tube, your child may have a temporary feeding tube that is passed through the nose or mouth and down into the stomach. A gastrostomy tube is more comfortable than a nose tube and it may be used if your child needs a feeding tube for a longer time.
Ask your healthcare provider about your child’s choices for treatment and the risks.
Your child will be given a local, regional, or general anesthetic before the procedure to keep him from feeling pain. Local and regional anesthesia numb part of the body while your child stays awake. Your child may be given medicine with the local or regional anesthetic to help him relax. General anesthesia relaxes the muscles and puts your child into a deep sleep.
An endoscope is a slim, flexible, lighted tube passed through your child’s mouth to look at your esophagus and stomach. Your child’s healthcare provider will use the endoscope during the procedure just to see the inside of your child’s stomach. The endoscope is removed at the end of the procedure.
The healthcare provider will make a cut in the left side of your child’s belly and put a tube in the stomach or the first part of the intestines. The tube will be held in place by a small fluid-filled balloon or a plastic cap inside your child’s stomach. The healthcare provider will attach the tube inside the stomach and to your child’s skin.
This procedure is usually done in a hospital or surgery center. Your child may go home the same day, or may stay in the hospital for several days, depending on his condition. You will be taught how to use and care for the feeding tube before your child leaves the hospital. It can usually be used within 12 to 24 hours after the procedure. Your child may have some soreness where the tube goes into his belly.
Liquid food may be passed through the tube into your child’s stomach with a special syringe or with a pump. You will be given instructions for how much, when, how long, and how often you should give liquid food and other fluids. If your child needs the tube for a long time, it may need to be replaced with a new tube some time later. Replacing the tube is a procedure that often can be done in a healthcare provider's office.
Discuss your child’s medicines with his healthcare provider. You can get many medicines in liquid form instead of tablets and they can be given through the feeding tube with a syringe. Other medicines can be dissolved in water and given through the feeding tube. Always flush the feeding tube with water after putting medicines or food in it to keep the tube from getting clogged.
Your child may have changes in his bowel movements. Your child’s bowel movements may be looser, or they may be less frequent and harder than normal.
Make sure that your child’s feeding tube is carefully secured to his belly. A feeding tube should not keep your child from returning to school or most activities. If you have questions about this, ask your child’s healthcare provider.
Follow the healthcare provider's instructions. Ask your child’s provider:
Make sure you know when your child should come back for a checkup. Keep all appointments for provider visits or tests.
You can get more information on support groups, diet, equipment, and other concerns from:
Every procedure or treatment has risks. Some possible risks of this procedure include:
Ask your healthcare provider how these risks apply to your child. Be sure to discuss any other questions or concerns that you may have.