Gastrointestinal Tubes Michael J. Klamut, M.D. Division of Gastroenterology
Gastrointestinal Tubes <ul><li>Reasons for placing intestinal tubes: </li></ul><ul><ul><li>Decompression of the GI tract (...
Gastrointestinal Tubes <ul><li>Types of intestinal  tubes: </li></ul><ul><ul><li>Levin (standard nasogastric tube) </li></...
Gastrointestinal Tubes <ul><li>Insertion Procedure for NG tube: </li></ul><ul><ul><li>Sit patient upright  (preferable) </...
 
 
 
 
 
Gastrointestinal Tubes <ul><li>Complications of tubes thru nose: </li></ul><ul><ul><li>Nasal septal injury/bleding </li></...
Gastrointestinal Tubes <ul><li>Intestinal tube removal: </li></ul><ul><ul><li>Take tube off suction </li></ul></ul><ul><ul...
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Gastrointestinal Tubes Michael J. Klamut, M.D.

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Gastrointestinal Tubes Michael J. Klamut, M.D.

  1. 1. Gastrointestinal Tubes Michael J. Klamut, M.D. Division of Gastroenterology
  2. 2. Gastrointestinal Tubes <ul><li>Reasons for placing intestinal tubes: </li></ul><ul><ul><li>Decompression of the GI tract (i.e. intestinal obstruction) </li></ul></ul><ul><ul><li>Lavage (washing out the stomach) </li></ul></ul><ul><ul><li>Gavage (feeding) </li></ul></ul><ul><ul><li>Compression (control bleeding) </li></ul></ul><ul><ul><li>Diagnosis (analysis of GI contents) </li></ul></ul>
  3. 3. Gastrointestinal Tubes <ul><li>Types of intestinal tubes: </li></ul><ul><ul><li>Levin (standard nasogastric tube) </li></ul></ul><ul><ul><li>Sump (nasogastric tube with side ports) </li></ul></ul><ul><ul><li>Dobhoff/PEG (enteral feeding) </li></ul></ul><ul><ul><li>Sengstaken-Blakemore (compression of gastric cardia and distal esophagus to control variceal bleeding) </li></ul></ul><ul><ul><li>Long tubes (Miller-Abbott/Cantor) </li></ul></ul>
  4. 4. Gastrointestinal Tubes <ul><li>Insertion Procedure for NG tube: </li></ul><ul><ul><li>Sit patient upright (preferable) </li></ul></ul><ul><ul><li>Inspect nares, pick larger of the nares </li></ul></ul><ul><ul><li>Lubricate NG tube Insert tube into back of nose with gentle pressure </li></ul></ul><ul><ul><li>Ask patient to swallow, advance tube rapidly but gently (patient may sip water) </li></ul></ul><ul><ul><li>Confirm placement of tube in stomach </li></ul></ul>
  5. 10. Gastrointestinal Tubes <ul><li>Complications of tubes thru nose: </li></ul><ul><ul><li>Nasal septal injury/bleding </li></ul></ul><ul><ul><li>Respiratory distress </li></ul></ul><ul><ul><li>Curling </li></ul></ul><ul><ul><li>GI Bleeding </li></ul></ul><ul><ul><li>Pneumothorax </li></ul></ul><ul><ul><li>Nasal alar necrosis (Sengstaken) </li></ul></ul>
  6. 11. Gastrointestinal Tubes <ul><li>Intestinal tube removal: </li></ul><ul><ul><li>Take tube off suction </li></ul></ul><ul><ul><li>Undo all tape </li></ul></ul><ul><ul><li>Remove quickly during Valsalva or suspended respirations </li></ul></ul>

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