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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)

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Gastrointestinal Tubes

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  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

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