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Doctor insights on: Gastrostomy Peg Tube

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Dr. Stephen Siegel
Board Certified, Pulmonology
33 years in practice
176K people helped
1

1
Can a percutaneous endoscopic gastrostomy (peg tube) cause any breathng or coughing symptoms?

Dr. Stephen Siegel
Board Certified, Pulmonology
33 years in practice
176K people helped
Can a percutaneous endoscopic gastrostomy (peg tube) cause any breathng or coughing symptoms?

It should not: The peg tube should be placed in the stomach and should not cause respiratoyr symptoms . The placement of the tube can be checked to insure that it is in good postion in the stomach and an chest xray can insure that there is no pneumonia. It is important to be sure to avoid overfilling the stomach with food or liquid from the tube as this could lead to vomiting and possible aspiration. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
2

2
What is a percutaneous endoscopic gastrostomy (peg)?

Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
What is a  percutaneous endoscopic gastrostomy (peg)?

Feeding tube: This is a feeding tube placed using endoscopy and not surgery. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
3

3
Why would a baby need a gastrostomy tube?

Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
Why would a  baby need a gastrostomy tube?

To be fed: Some babies may have conditions that do not allow them to eat by mouth or take in enough calories by mouth feeding. Some of these conditions are cerebral palsy, reflux, heart defects, aspiration, vocal cord paralysis, or cleft palate. ...Read more

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Dr. Mark Hoepfner
Board Certified, General Surgery
34 years in practice
17M people helped
4

4
Differences between gastrostomy and nasogastric tube.?

Dr. Mark Hoepfner
Board Certified, General Surgery
34 years in practice
17M people helped
Differences between gastrostomy and nasogastric tube.?

Location: The location of the tube tells which one it is. A nasogastric tube is a temporary tube placed through the nose into the stomach. It can be used to remove fluid from the stomach, or used for instilling liquid food. A gastrostomy tube is a surgically placed tube through the abdominal skin into the stomach, usually used for longer term nutritional liquid feeding. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
5

5
How do I know if my baby's gastrostomy tube need to be replaced or removed?

Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
How do I know if my baby's gastrostomy tube need to be replaced or removed?

Depends: If your baby is able to eat by mouth and maintain good growth velocity for 2-3 months without needing or using the feeding tube then it most likely can be discontinued. If the tube is needed and it leakes or clogs then it should be replaced some tubes are only good for 3-4 months at a stretch. ...Read more

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Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
6

6
How can I help make my baby comfortable if he has a gastrostomy tube?

Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped

Venting: Sometimes babies swallow air that they cannot burp. This distends the stomach and makes them uncomfortable. Venting the tube and draining the air will make them more comfortable. It is like "burping" them through the tube. ...Read more

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Dr. Eric Chen
Board Certified, Radiology
6 years in practice
72K people helped
7

7
What are the differences between gastrostomy tube and nasogastric tube?

Dr. Eric Chen
Board Certified, Radiology
6 years in practice
72K people helped
What are the differences between gastrostomy tube and nasogastric tube?

Gastrostomy: A gastrostomy tube is a tube inserted through the skin into the stomach, used for long term feeding in patients who cannot swallow. A nasogastric tube is a tube inserted through the nostrils into the stomach. It is a short term catheter which can be used for feeding, but it must be removed or it will cause erosion of the mucosa in the nose. ...Read more

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Dr. James Ferguson
Board Certified, Pediatrics
41 years in practice
145M people helped
8

8
What problems can happen when my baby has a gastrostomy tube in place?

Dr. James Ferguson
Board Certified, Pediatrics
41 years in practice
145M people helped
What problems can happen when my baby has a gastrostomy tube in place?

Falling out/blockage: The common problems related to a g-tube include: site care - sometimes the gastric juices cause chronic irritation around the site requiring regular skin care ; obstruction, be sure to follow instructions for flushing after use; falling out, if the g tube anchor deflates and the tube falls out it needs to be re-inserted soon or the hole will begin to close. ...Read more

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Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
9

9
When is a gastrostomy tube for neonates used?

Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
When is a gastrostomy tube for neonates used?

Variety of reasons: In newborns a gastrostomy tube is used to feed them if unable to eat due to cleft palate, vocal cord paralysis, or severe refliux with aspiration. Some infants with severe heart disease may not have the energy to feed themselves and need help until their heart defect is repaired and they are stronger. ...Read more

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Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
10

10
How would I feed my baby through his gastrostomy tube?

Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
How would I   feed my baby through his gastrostomy tube?

Several ways: Babies can be fed by bolus through the tube or by continuous drip. Bolus allows the feeding to go slowly into the stomach over 20-30 minutes. This allows the baby to be paced. Drip means slower smaller volumes going into the stomach continuously and usually uses a pump. ...Read more

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Dr. Peter Kurzweil
Board Certified,
45 years in practice
16M people helped
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