TY - CHAP M1 - Book, Section TI - Gastrostomy Tube Complications and Replacement A1 - Uribe, Erika Flores A1 - Eiting, Erick A. A2 - Reichman, Eric F. Y1 - 2018 N1 - T2 - Reichman's Emergency Medicine Procedures, 3e AB - The gastrostomy tube (G-tube) is a commonly used device that provides prolonged enteral support in patients who are unable to obtain sufficient nutrition orally. Indications for enteral feeding tube placement include prolonged neurogenic or mechanical dysphagia, prolonged mechanical ventilation, and poor intake. Relatively common complications related to enterostomy tubes encountered in the Emergency Department include tube dislodgement, tube occlusion, leakage around the tube, and skin changes (e.g., hypergranulation, ulceration, erythema, and infection).1,2 Some less common problems include buried bumper syndrome, peritonitis, gastric outlet obstruction, gastro-colo-cutaneous fistula, and stomal herniation.1-5 Some of the complications may require replacing G-tubes.6 Simplified techniques for their placement and improved materials have made gastrostomies common in the outpatient setting. Emergency Physicians fill a valuable role in solving G-tube problems as many patients present to Emergency Departments with various G-tube complaints. This chapter reviews the methods and materials used in gastrostomies and the approaches to replacing displaced or malfunctioning G-tubes. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/11 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159799648 ER -