GASTROSTOMY TUBE PLACEMENT

NORMAL ANATOMY

the stomach connect direct to th esophagus to the small intestine,and acts as an reservoir means(as a source of food supplyer),firstly its deliver the food to the small intestine,

INDICATION

there are various reason to insert the tube of gastrostomy.it may be needed temporarily or perminently.gastrostomy tube insertion may be acceptable for birth's defects of the mouth,esophagus,or stomach(esophageal atresia or tracheal esophageal fistula)problems with sucking and/or swallowing,for example in patients debilitated by stroke or dementia.

INCISION

While the patient is deep asleep and pain-free (general anesthesia), a small incision is made on the left side of the abdomen.

PROCEDURE,PART 1

A small, flexible, hollow tube (catheter) with a balloon or flared tip is inserted into the stomach. The stomach is stitched closed around the tube and the incision is closed.

PROCEDURE,PART 2

Alternatively, gastrostomy tubes can be placed under endoscopic guidance, using a much smaller incision (percutaneous endoscopic gastrostomy tube placement, or PEG). PEG tube placement can generally be performed under local anesthesia rather than general anesthesia. An endoscope is passed into the mouth, down the esophagus, and into the stomach. The surgeon can then see the stomach wall through which the PEG tube will pass. Under direct visualization with the endoscope, a PEG tube passes through the skin of the abdomen, through a very small incision, and into the stomach. A balloon is then blown up on the end of the tube, holding in place. PEG gastrostomy tubes avoid the need for general anesthesia and a large incision.

AFTERCARE

the stomach and abdomen may be heals in 5to7 days.a little bit pain can be managed by the medication.the patient will be intravenously(VI) for at least.