1 / 11

Gastrointestinal Tubes

Gastrointestinal Tubes. Michael J. Klamut, M.D. Division of Gastroenterology. Gastrointestinal Tubes. Reasons for placing intestinal tubes: Decompression of the GI tract (i.e. intestinal obstruction) Lavage (washing out the stomach) Gavage (feeding) Compression (control bleeding)

shelby
Download Presentation

Gastrointestinal Tubes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Gastrointestinal Tubes Michael J. Klamut, M.D. Division of Gastroenterology

  2. Gastrointestinal Tubes • Reasons for placing intestinal tubes: • Decompression of the GI tract (i.e. intestinal obstruction) • Lavage (washing out the stomach) • Gavage (feeding) • Compression (control bleeding) • Diagnosis (analysis of GI contents)

  3. Gastrointestinal Tubes • Types of intestinal tubes: • Levin (standard nasogastric tube) • Sump (nasogastric tube with side ports) • Dobhoff/PEG (enteral feeding) • Sengstaken-Blakemore (compression of gastric cardia and distal esophagus to control variceal bleeding) • Long tubes (Miller-Abbott/Cantor)

  4. Gastrointestinal Tubes • Insertion Procedure for NG tube: • Sit patient upright (preferable) • Inspect nares, pick larger of the nares • Lubricate NG tube Insert tube into back of nose with gentle pressure • Ask patient to swallow, advance tube rapidly but gently (patient may sip water) • Confirm placement of tube in stomach

  5. Gastrointestinal Tubes • Complications of tubes thru nose: • Nasal septal injury/bleding • Respiratory distress • Curling • GI Bleeding • Pneumothorax • Nasal alar necrosis (Sengstaken)

  6. Gastrointestinal Tubes • Intestinal tube removal: • Take tube off suction • Undo all tape • Remove quickly during Valsalva or suspended respirations

More Related