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Tube Feeding
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Types of tubes

 

 

Gastrostomy tubes


PEG

 

A PEG feeding tube can last for 1-2years. You can discuss changing to a lower profile feeding tube after 3 months. Most children are admitted for daycare surgery to have the PEG tube removed. The adapters (at the end of tube) sometimes leak - they can be easily changed (once a month).  We recommend taping the tube to the abdomen to stabilize the tube.

MIC G (balloon-type device)

 

MIC G tubes are sometimes used as primary (initial) tubes. They have a balloon - subsequent tube changes can be done in the clinic or at home.

MIC KEY (balloon-type device)



MIC KEYs are a balloon-type device as well. These tubes last anywhere from 3-6 months on average (depending on many factors).They are most often changed in the clinic or at home once families are comfortable with the process. 

Nutriport (balloon-type device)



Nutriports are a balloon-type device as well. These tubes last anywhere from 3-6 months on average (depending on many factors).They are most often changed in the clinic or at home once families are comfortable with the process.


Bard Button (mushroom-type device)

 

Bard buttons are a mushroom-type device that are most often changed in a clinic setting or operating room because we believe removing and replacing the device can be uncomfortable. Some children tolerate the tube changes in clinic without sedation, while others require medication to help them with the tube change.

Jejunostomy Tubes


For Roux-En-Y or a Braun jejunostomies - the above low profile-type tubes may be used.

Here are 3 types of Jtubes:

  • Cook catheter - for transgastric jejunal feeding
  • MIC - for a surgical jejunostomy
  • Foley with no balloon - replacement tube for a surgical jejunostomy

 

There are several types of jejunostomy tubes used in our program. The type of tube used will depend on the way the jejunal feeding has been established. A lower profile device can be used to access Roux-En-Y jejunostomies and Braun jejunostomies.

Transgastric jejunal feeding tubes



Cook catheter for transgastric jejunal (GJ) feeding

 

The type of tube is inserted through an established gastrostomy tract in the radiology department. This tube needs to be well secured (taped) to the abdomen to prevent it from falling out. These tubes can be easily pulled out if not secured well. It is very important to make sure that medications are given separately and flushed well to prevent the tube from becoming blocked. We often suggest that the tube is changed every 3 months on a routine basis.

MIC low profile transgastric jejunal feeding tube with gastric port

photo to come

MIC low profile transgastric jejunal feeding tube without gastric port




MIC transgastric jejunal feeding tube