Do not attempt to replace the tube
May not represent sufficient time for full epithelialization of the percutaneous tract
Efforts at replacement may result in intra-peritoneal tube
Urgent general surgical, gastroenterology, or radiology consult is recommended
Patients with early removal should be admitted for IV antibiotics and monitoring for peritonitis.
Reinsertion should be attempted as soon as possible
Mature stomas close rapidly (within minutes to hours)
Replacement tubes should be of the same size as the initial tube
If the original size is unknown, a 16 or 18 French G tube or a Foley catheter may generally be used
Mature stomas close rapidly (within minutes to hours)
Never force the tube
Forcing the tube may separate the stomach from the abdominal wall and result in intraperitoneal placement of the G tube
If unable to replace g-tube, attempt one size smaller or a foley catheter
Inject 20-30mL of water-soluble contrast [Gastrografin], then obtain an upright abdominal XR
Inject of 10cc NS through the tube under direct ultrasound visualization of the stomach
Check tube fluid: gastric fluid pH is normally <4
Displaced G-tube
Clogged G-tube
Infected G-tube
Leaking G-tube
Chylous leak
Nasogastric tube placement
Tracheostomy dislodgement
Post-operative fever