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Common complications
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Jejuonstomy tube falls out

 

Your doctor or nurse will discuss how to replace and manage this tube with you as there are so many different ways to place a jejunostomy tube.


Roux-en-Y

If the stoma is new (the tube has been in for less than six weeks)

  • Cover the stoma with a clean gauze or cloth.
  • You need to see a doctor to put the tube back in as soon as possible (within two hours).
  • The stoma will close pretty quickly (we usually say four to six hours).
If the stoma is more than six weeks old
  • You need to place a feeding tube into the stoma as soon as possible.
  • The Foley catheter of a MIC KEY – remember to use only 2-3ml of water to inflate balloon.

Braun jejunostomy


We usually replace Braun-type jejunostomy tubes in clinic as they can be a little more difficult to place.


If you have been instructed to replace the tube


 Gather equipment: 

  • feeding tube (Foley catheter or skin level tube) 
  • wash cloth 
  • tape 
  • 5ml syringe – to inflate the balloon 
  • 5ml water – to inflate the balloon 
  • water
  • soluable lubricant (like KY jelly)
2. Draw up 2-3ml of water into the syringe.

3. Check the balloon on the new tube before putting it into the stoma by inflating the balloon with 5ml of water.

4. Deflate the balloon by pulling the water back into the syringe.
 
5. Moisten the end of the tube with water or water-soluble lubricant (to make the tube go in easier).
 
6. Insert the new tube about two inches into the stoma.



7. Inflate balloon with the 2-3ml of water in the syringe – remove the empty syringe from the tube.

8. Gently pull back on the tube.

9. Clean and dry the skin.