G/GJ tubes: After tube removalGG/GJ tubes: After tube removalG/GJ tubes: After tube removalEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Stomach;Abdomen;Small IntestineDigestive systemProceduresAdult (19+) CaregiversNA2018-04-11T04:00:00ZHolly Norgrove, RN, BScNHealth (A-Z) - ProcedureHealth A-Z<p>Learn how to care for and heal your child's feeding tube tract after the removal of their feeding tube.</p><p>A G or GJ tube may be a permanent way to feed some children. For others, it is temporary and may be removed in the future. You and your child’s paediatrician or primary health-care team will decide when to remove the feeding tube according to your child’s history.</p><h2>Key points</h2><ul><li>It may take more than two weeks for the feeding tube tract to heal and close, and it will leak during this time.</li><li>Your child must continue to take the oral antacid medication for as long as the stoma is leaking after the tube is removed.</li><li>If the stoma is still leaking two weeks after the tube has been removed, call your G tube specialist for further assessment.</li><li>After tube removal it is important to wash the stoma with soap and water daily to prevent infection. Do not submerge your child in water until the feeding tube tract has stopped leaking.</li></ul><h2>When to see a doctor</h2><p>Always watch for signs of <a href="/Article?contentid=2906&language=English">infection</a>, such as redness, swelling, pain, and fever. See your family doctor or paediatrician if your child is experiencing these symptoms.</p><p>If the stoma is still <a href="/Article?contentid=3020&language=English">leaking</a> two weeks after the tube has been removed, call your G tube specialist (at SickKids this is the G Tube Resource Nurse) for further assessment. Your child may need stitches to close the tract.</p><p>Your child’s feeding tube has been <a href="/Article?contentid=3037&language=English">removed</a>. Here is what you need to know now that the tube is gone:</p><h3>Stoma and feeding tube tract healing process</h3><p>Your child will leave the clinic with gauze over the stoma (opening in the stomach) secured to their tummy with tape. This will help to protect their clothes from leaks. Your child’s tract will start to heal and close within hours of removing the feeding tube but it can take more than two weeks to close completely. It will leak during this time. After the tract closes, your child will have a small scar that may look like a dimple or a healed earring hole.</p><p>Continue to cover the stoma with gauze while it leaks. Change the gauze daily or when it becomes soaked. Continue to apply a barrier cream, such as Ihle’s Paste or Zincofax, to the skin around the stoma to protect it from acidic stomach contents. Do not be alarmed if you see some of the food and drink your child is eating on the gauze. This is normal.</p><h3>Keeping the stoma clean</h3><p>Do not submerge your child in water until the tract is fully closed. This means no baths or swimming for at least two weeks or until there is no more leakage. Sponge baths and showers are okay during this time.</p><p>It is important to wash the stoma with soap and water daily to prevent infection. Be gentle; do not rub the stoma. Allow the soap, shampoo and water to lightly wash over the site.</p><p>Once the leaking stops, the stoma will scab over and your child will no longer need gauze dressing.</p><h3>How to protect your child’s skin</h3><p>To protect the skin from the acidic stomach contents, apply a zinc oxide barrier cream around the stoma and continue to apply a gauze dressing over the site, secured to the tummy with tape as long as it leaks. This dressing should be changed daily or when it is soaked.</p><p>Your child will be started on an antacid medication such as <a href="/article?contentid=169&language=English">lansoprazole</a> or <a href="/article?contentid=204&language=English">omeprazole</a>. Your child must continue to take these antacid medications orally (by mouth) until the leaking stops.</p><h2>At SickKids</h2><p>If your child is a SickKids patient, contact the G Tube Resource Nurse with any concerns.</p><h3>G Tube Resource Nurse contact info:</h3><p>Monday -Friday 8 am - 4 pm</p><p>Phone: 416-813-7177</p><p>Pager: 416-377-1271</p><p>Email: g.tubenurse@sickkids.ca</p><p>On weekends/afterhours, you may need to come to the Emergency Department for an alternate method of feed/fluids/medication administration.</p>

 

 

G/GJ tubes: After tube removal3042.00000000000G/GJ tubes: After tube removalG/GJ tubes: After tube removalGEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Stomach;Abdomen;Small IntestineDigestive systemProceduresAdult (19+) CaregiversNA2018-04-11T04:00:00ZHolly Norgrove, RN, BScNHealth (A-Z) - ProcedureHealth A-Z<p>Learn how to care for and heal your child's feeding tube tract after the removal of their feeding tube.</p><p>A G or GJ tube may be a permanent way to feed some children. For others, it is temporary and may be removed in the future. You and your child’s paediatrician or primary health-care team will decide when to remove the feeding tube according to your child’s history.</p><h2>Key points</h2><ul><li>It may take more than two weeks for the feeding tube tract to heal and close, and it will leak during this time.</li><li>Your child must continue to take the oral antacid medication for as long as the stoma is leaking after the tube is removed.</li><li>If the stoma is still leaking two weeks after the tube has been removed, call your G tube specialist for further assessment.</li><li>After tube removal it is important to wash the stoma with soap and water daily to prevent infection. Do not submerge your child in water until the feeding tube tract has stopped leaking.</li></ul><h2>When to see a doctor</h2><p>Always watch for signs of <a href="/Article?contentid=2906&language=English">infection</a>, such as redness, swelling, pain, and fever. See your family doctor or paediatrician if your child is experiencing these symptoms.</p><p>If the stoma is still <a href="/Article?contentid=3020&language=English">leaking</a> two weeks after the tube has been removed, call your G tube specialist (at SickKids this is the G Tube Resource Nurse) for further assessment. Your child may need stitches to close the tract.</p><p>Your child’s feeding tube has been <a href="/Article?contentid=3037&language=English">removed</a>. Here is what you need to know now that the tube is gone:</p><h3>Stoma and feeding tube tract healing process</h3><p>Your child will leave the clinic with gauze over the stoma (opening in the stomach) secured to their tummy with tape. This will help to protect their clothes from leaks. Your child’s tract will start to heal and close within hours of removing the feeding tube but it can take more than two weeks to close completely. It will leak during this time. After the tract closes, your child will have a small scar that may look like a dimple or a healed earring hole.</p><p>Continue to cover the stoma with gauze while it leaks. Change the gauze daily or when it becomes soaked. Continue to apply a barrier cream, such as Ihle’s Paste or Zincofax, to the skin around the stoma to protect it from acidic stomach contents. Do not be alarmed if you see some of the food and drink your child is eating on the gauze. This is normal.</p><h3>Keeping the stoma clean</h3><p>Do not submerge your child in water until the tract is fully closed. This means no baths or swimming for at least two weeks or until there is no more leakage. Sponge baths and showers are okay during this time.</p><p>It is important to wash the stoma with soap and water daily to prevent infection. Be gentle; do not rub the stoma. Allow the soap, shampoo and water to lightly wash over the site.</p><p>Once the leaking stops, the stoma will scab over and your child will no longer need gauze dressing.</p><h3>How to protect your child’s skin</h3><p>To protect the skin from the acidic stomach contents, apply a zinc oxide barrier cream around the stoma and continue to apply a gauze dressing over the site, secured to the tummy with tape as long as it leaks. This dressing should be changed daily or when it is soaked.</p><p>Your child will be started on an antacid medication such as <a href="/article?contentid=169&language=English">lansoprazole</a> or <a href="/article?contentid=204&language=English">omeprazole</a>. Your child must continue to take these antacid medications orally (by mouth) until the leaking stops.</p><h2>At SickKids</h2><p>If your child is a SickKids patient, contact the G Tube Resource Nurse with any concerns.</p><h3>G Tube Resource Nurse contact info:</h3><p>Monday -Friday 8 am - 4 pm</p><p>Phone: 416-813-7177</p><p>Pager: 416-377-1271</p><p>Email: g.tubenurse@sickkids.ca</p><p>On weekends/afterhours, you may need to come to the Emergency Department for an alternate method of feed/fluids/medication administration.</p>G/GJ tubes: After tube removal

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