A GJ tube goes through the abdomen and ends up in two different places: the stomach for medicine and ventilation, and the small intestine jejunum for feeding. Like G and J tubes, GJ tubes use a water-filled balloon to help the tube stay put in the stomach. Because it leads to multiple places, a GJ tube has multiple ports on the outside:. Gastro-Jejunal GJ Tube. Anatomy of a Tube Click image to enlarge. Click image to enlarge. Continuous sets are used when feeding small amounts constantly throughout the day or night without interruption.
Avanos Uses Cookies Like most sites, Avanos Medical uses cookies to collect and store information and deliver a personalized experience. If the tube becomes clogged, attach a 5ml syringe of warm water to the feeding tube adapter. Try flushing the tube. If you are unable to flush, pull back on the syringe plunger. Try to flush and pull back up to five times.
If you are still unsuccessful, try using a 3ml syringe of warm water and repeat the above steps. If after attempting the above you are still unsuccessful, please call and press prompt 1 and then prompt 2 to schedule the tube for replacement. Mondays — Fridays 7 a. After 5 p. On the weekends and holidays during the day, call to reach the hospital operator and ask for the Interventional Radiologist on call.
If your child cannot go without fluids, has a metabolic disease, or cannot skip a dose of medication please check with your healthcare provider which medications cannot be skipped then go to the pediatric emergency room until a replacement tube can be arranged. Then mix the medicine with a teaspoon of water. Do not crush coated or time-released pills. Please Note : To crush pills, use the back of a spoon or a pill crusher.
Ask your pharmacist about pill crushers. It is important for your child to have pleasant sensations during feeding. Your nurse or doctor can give you suggestions such as, sucking on a pacifier, gently stroking their cheeks, talking and interacting with them during feedings.
For nighttime feedings, place your child on his or her side. Elevate the head of the bed by putting a pillow under the mattress. They may need to prescribe an antifungal ointment or powder for it to heal. If the G-J tube becomes clogged, try to slowly flush it with 10 ml of warm water.
Never try to push anything into the tube to unclog it. You may need to return to the hospital to have it replaced in the X-ray department.
Do not try to replace the tube if it falls out. The tube must be replaced by a doctor. When the G-J tube is replaced it is important to verify that the tube is in the right place, by taking an x-ray. Bring the tube with you to the hospital if possible so that we will know the exact size and type of tube that fell out. If you cannot get to the Children's Hospital emergency room within 2 hours, call your Children's Hospital doctor.
You may have to go to a hospital closer to you to have the tube put back in. If the opening stoma on the abdominal surface was created within the past few months it could close up so it is important not to wait if the tube is out for more than a few hours.
The tube will be inspected by the interventional radiology physician who will determine when the next replacement should occur. An appointment is needed for the replacement. For tube emergencies, call the interventional radiology office at as early as possible to schedule the replacement Monday through FridayAM to 4PM. Please follow these instructions on how to reach interventional after hours, weekends and holidays:.
For tube emergencies call and ask for the interventional radiologist on call. Have the on-call physician paged between the hours of AM and 4PM.
If you wait until 4PM the GJ will be replaced the next day. The interventional radiologist will be notified of your emergency after AM. Note: Please make sure that you follow the instructions given to you by your attending physician on how to maintain the stoma if the GJ is out of the stoma BEFORE calling the interventional radiology department.
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