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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)

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gastrointestinal tubes

Gastrointestinal Tubes

Michael J. Klamut, M.D.

Division of Gastroenterology

gastrointestinal tubes2
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)
gastrointestinal tubes3
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)
gastrointestinal tubes4
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
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Gastrointestinal Tubes
  • Complications of tubes thru nose:
    • Nasal septal injury/bleding
    • Respiratory distress
    • Curling
    • GI Bleeding
    • Pneumothorax
    • Nasal alar necrosis (Sengstaken)
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Gastrointestinal Tubes
  • Intestinal tube removal:
    • Take tube off suction
    • Undo all tape
    • Remove quickly during Valsalva or suspended respirations