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G/GJ tubes: What to do if your child’s feeding tube movesGG/GJ tubes: What to do if your child’s feeding tube movesG/GJ tubes: What to do if your child’s feeding tube movesEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Small Intestine;StomachDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2023-04-05T04:00:00Z6.8000000000000073.3000000000000963.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Find out how to prevent your child's G tube from moving in and out of the stoma, and what to do if you suspect it has moved.</p><p>Gastrostomy tubes (G tubes) and gastrojujenostomy tubes (GJ tubes) are feeding devices. A G tube gives liquid nutrition, medication and other fluids directly into the stomach. A GJ tube gives liquid nutrition, medication and other fluids directly into the small intestine (the jejunum). Both G tubes and GJ tubes are placed in a surgical opening in your child's tummy (abdomen) called the stoma. The tunnel from the outside into the stomach is called the tract.</p><table class="akh-table"><tbody><tr><td>The SickKids G-Tube Feeding Program has developed a one page guide to help you quickly troubleshoot any issues with your child's feeding tube: <a href="https://assets.aboutkidshealth.ca/AKHAssets/G%20Tube%20Feeding%20Program%20-%20Family%20One%20Pager.pdf" target="_blank">G-Tube Feeding Program Family One Pager</a></td></tr></tbody></table><h2>Key points</h2><ul><li>If your child’s G tube looks longer or shorter than normal, it may have moved out of position.</li><li>If you child has a G tube inserted by a radiologist using image guidance, it can be re-positioned to sit in the stomach.</li><li>If your child has a GJ tube that moved out of position, you will need to contact the G tube Resource Nurse immediately or visit the emergency department as the tube cannot be re-positioned at home. An image guidance will be required to re-position the tube in the jejunum.</li><li>Always secure the tube properly to prevent it moving in and out of the stoma.</li></ul><p><a href="/Article?contentid=2536&language=English">Corflo PEG tubes</a> and MacLoc G tubes are types of feeding tubes placed by an interventional radiologist using image guidance. Low-profile balloon type G tubes are placed by a G tube specialist (at SickKids this is the G Tube Resource Nurse). If your child’s G tube looks longer or shorter than normal, it may have moved out of position. Depending on the type of G tube your child has, the instructions for moving the tube back into place may be different.</p><h2>Corflo PEG tube</h2><p>A Corflo PEG tube has a round bolster inside the stomach that helps prevent the tube from being pulled out. There is a crossbar or white elbow fixation device at the stoma that helps prevent the tube from moving into the stomach. If the crossbar or elbow fixation device is not sitting at your child’s stoma, the tube may have moved out of position.</p><p>If the Corflo PEG tube has moved farther into the stomach your child may experience the following signs and symptoms.</p><ul><li>Vomiting</li><li>Discomfort or pain</li><li>Diarrhea</li><li>Bloated stomach</li></ul><p>If any of these signs occur, contact your G tube team.</p><h3>Preventing your child’s Corflo PEG tube from moving</h3><p>To prevent your child’s Corflo PEG tube from moving:</p><ul><li>Always secure the tube</li><li>A crossbar or elbow fixation device is used to prevent the tube moving from in and out of the stoma</li><li>Ensure proper fit of the crossbar or elbow fixation device at the stoma</li></ul><p>For the first two weeks after tube insertion, do not adjust the crossbar or elbow fixation device. Contact your G tube team if you have concerns about the placement of the cross bar or elbow fixation device. </p><p>Two weeks after the initial insertion of the Corflo PEG tube, you may adjust the crossbar or elbow fixation device to sit at the stoma.</p><p>How to re-position your child’s Corflo PEG tube:</p><ol><li>Wash your hands with soap and water.</li><li>Remove any tape used to secure the tube to abdomen.</li><li>Pull the tube back gently until resistance felt. This means the bolster is at the end of stoma tract.</li><li>Stop pulling when resistance felt, then adjust the crossbar or elbow fixation device to sit at the stoma.</li><li>Re-tape the tube to the skin if preferred and secure the tube well.</li></ol><h3>What to do if the Corflo PEG tube is partially pulled out</h3><p>Although it is very unlikely, your child's Corflo PEG tube may be pulled out part way, which can cause the bolster on the end of the tube to become stuck in the tract. If this has happened, you may notice the following.</p><ul><li>Significant pain in the G tube area</li><li>A visible hard plastic bulge (the bolster) that does not go away when you move the tube</li><li>You may be able to feel a hard bulge (the bolster) in the tract or stoma</li><li>Formula leaking from the stoma</li><li>If you are concerned that the tube has been partially pulled out and the bolster is stuck, call your G tube specialist right away. On the weekend/after hours, go to the Emergency Department</li></ul><h2>Low-profile balloon type G tube</h2><p>If your child has a <a href="/Article?contentid=2908&language=English">low-profile balloon type G tube</a>, it will not move farther into the stomach. This is a skin level tube that extends through the stoma. There is a balloon filled with water at the end of the tube that is in the stomach. This balloon holds the tube in place. Check the amount of water in the balloon at least once a week; if there is less water in the balloon, the tube may be able to move slightly in the tract. Use sterile or distilled water to refill the balloon.</p><h2>MacLoc G tube</h2><p>If your child has a MacLoc type G tube that looks longer or shorter than normal, it may have moved out of position.</p><p>If the MacLoc type G tube has moved farther into the stomach, your child may experience the following signs and symptoms:</p><ul><li>Vomiting</li><li>Discomfort or pain</li><li>Diarrhea</li><li>Bloated stomach.</li></ul><p>If any of these signs occur, contact your child's G tube team.</p><h3>Preventing your child’s MacLoc G tube from moving<br></h3><p>To prevent your child’s MacLoc type G tube from moving:</p><ul><li>Always secure the tube in place with tape</li><li>Mark the outside part of your child’s feeding tube where it meets the stoma.</li></ul><p>How to mark your child's MacLoc G tube:</p><ol><li>Wash your hands with soap and water</li><li>Remove the tape securing the tube to the skin</li><li>Pull back on the tube gently</li><li>When you feel resistance, stop pulling. Push the tube into the stomach 1–2 cm. </li><li>Re-tape the tube to the skin and mark the tube where it meets the stoma. Use a permanent marker so it will not wash off with your daily soap and water cleaning.</li></ol><p>You may also measure the length of the outside part of the feeding tube, from stoma to adaptor. Make sure to mark this number down somewhere you will remember.</p><h2>Foley catheter</h2><p>A foley catheter may be used as a G tube, J tube, or emergency tube. It has a balloon that sits inside the stomach or jejunum that prevents the tube from being pulled out. A piece of tape used to secure it on the outside and prevent the tube from moving into the stomach or jejunum. If the Foley catheter appears longer or shorter than normal, the tube may have migrated out of place.</p><p>If the Foley catheter migrates inwards, your child may experience the following signs and symptoms:</p><ul><li>vomiting</li><li>abdominal discomfort or pain</li><li>bloated abdomen</li><li>diarrhea </li></ul><p>If the tube has moved inwards, follow these steps:</p><ol><li>Using a slip tip syringe, check the volume of water in the balloon. Re-inflate with appropriate volume (as directed by the health-care team). </li><li>Pull back on the tube until you feel resistance from the balloon. </li><li>Tape the tube down onto the abdomen to prevent it from falling out later.</li></ol> <p>If these symptoms do not improve, please contact your G Tube specialist during business hours or go to the emergency department for assistance, after hours. </p><h3>Preventing your child’s Foley catheter from moving</h3><p>To prevent a Foley catheter from moving:</p><ul><li>Always secure the catheter with tape to the abdomen.</li><li>Check the water volume in the balloon at least once a week. Use sterile or distilled water to refill the balloon.</li><li>Mark the position of the catheter where it meets your child’s stoma. You can use a permanent marker to prevent it washing off with daily cleaning. </li><li>Measure the length of the outside part of the catheter, from stoma to adaptor. This will be a reminder of how long the external length is. </li></ul><p>To mark the catheter:</p><ol><li>Wash your hands with soap and water. </li><li>Remove the tape securing the catheter to the skin. </li><li>Pull the tube gently. When you feel resistance, sop. This is the balloon on the inner side of the tract. </li><li>Re-tape the tube to the skin and mark the tube where it meets the stoma. </li></ol><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>Phone 416-813-7177</p><p>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>
Sondes G et GJ : que faire si la sonde d’alimentation de votre enfant se déplaceSSondes G et GJ : que faire si la sonde d’alimentation de votre enfant se déplaceG/GJ tubes: What to do if your child’s feeding tube movesFrenchGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Small Intestine;StomachDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2018-04-11T04:00:00ZHealth (A-Z) - ProcedureHealth A-Z<p>Renseignez-vous sur les façons dont vous pouvez empêcher la sonde G de sortir de la stomie ou d’y pénétrer et que faire si vous vous doutez qu’elle s’est déplacée.</p><p>Les sondes gastriques (G) ou les sondes gastrojéjunales (GJ) sont des dispositifs d’alimentation. La sonde gastrique permet d’approvisionner directement l’estomac en liquides ainsi qu’en aliments et en médicaments sous forme liquide. La sonde gastrojéjunale permet de déverser les mêmes éléments directement dans le petit intestin (jéjunum). Une petite ouverture, appelée stomie, est pratiquée dans l’estomac. On appelle « tractus » son prolongement hors de l’estomac.</p><h2>À retenir</h2><ul><li>Si la sonde G de votre enfant vous semble plus longue ou courte que d’habitude, il est possible qu’elle se soit déplacée hors de sa position normale.</li><li>Si un radiologiste a procédé à l’insertion d’une sonde G en se guidant par l’image, elle peut être remise en place de manière à reposer dans l’estomac.</li><li>Si sa sonde GJ s’est déplacée, vous devrez immédiatement communiquer avec l’infirmier-ressource ou consulter le service des urgences car la sonde ne peut être remise en place à la maison. Il est nécessaire de remettre la sonde en place dans le jéjunum en se guidant par l’image.</li><li>Fixez toujours la sonde de manière à l’empêcher de bouger vers l’extérieur ou l’intérieur de la stomie.</li></ul><p>Les sondes G MacLoc et les <a href="/Article?contentid=2536&language=French">sondes pour gastrostomie endoscopique percutanée Corflo</a> sont des types de sonde d’alimentation mises en place par le radiologiste intervention-nel qui a été guidé par l’image. Les sondes G discrètes à ballonnet sont mises en place par un expert des sondes G (à l’hôpital SickKids, notre infirmier-ressource joue ce rôle). Si la sonde G de votre enfant vous semble plus longue ou courte que d’habitude, il est possible qu’elle se soit déplacée hors de sa position normale. En fonction du type de sonde G dont votre enfant a été muni, les instructions pour remédier au déplacement de la sonde peuvent varier.</p><h2>Sonde G MacLoc</h2><p>Si la sonde G MacLoc que porte votre enfant vous semble plus longue ou courte que d’habitude, il est possible qu’elle se soit déplacée hors de sa position normale. Si elle s’est déplacée plus profondément dans l’estomac, votre enfant pourrait présenter les symptômes suivants :</p><ul><li>vomissements</li><li>inconfort ou douleur</li><li>diarrhée</li><li>ballonnements</li></ul><p>Si l’un de ces symptômes se manifeste, communiquez avec votre équipe responsable de la sonde G.</p><h3>Prévention des déplacements de la sonde G MacLoc</h3><p>Afin d’empêcher le déplacement de la sonde MacLoc :</p><ul><li>Prenez toujours la précaution de fixer la sonde à l’aide de ruban adhésif</li><li>Faites une marque sur la sonde d’alimentation à la hauteur où elle affleure la stomie</li></ul><p>Comment vous y prendre pour faire une marque sur la sonde G MacLoc de votre enfant :</p><ol><li>Lavez-vous les mains à l’eau savonneuse</li><li>Retirez le ruban adhésif qui retient la sonde à la peau</li><li>Retirez doucement la sonde</li><li>Cessez de tirer dès qu’une résistance se fait sentir, puis enfoncez la sonde 1 à 2 cm dans l’estomac</li><li>Servez-vous de ruban adhésif pour coller de nouveau la sonde à la peau et faites une marque à la hauteur où la sonde affleure la stomie. Utilisez un crayon marqueur à l’encre permanente qui résistera au nettoyage quotidien à l’eau savonneuse.</li></ol><p>Vous pouvez également mesurer la longueur de la sonde, de la stomie à l’adapteur. Assurez-vous de consigner cette donnée quelque part de manière à ne pas l’égarer.</p><h3>Sonde pour gastrostomie endoscopique percutanée Corflo</h3><p>La sonde pour gastrostomie endoscopique percutanée Corflo comporte un traversin (renflement) arrondi qui empêche la sonde de sortir de l’estomac. Une barre ou un dispositif de fixation en forme de coude (blanc) reposant sur la stomie empêche la sonde de pénétrer dans l’estomac. Si la barre ou le dispositif de fixation ne se trouve pas sur la stomie, la sonde peut avoir bougé.</p><p>Dans le cas où la sonde pour gastrostomie endoscopique percutanée Corflo s’est enfoncée plus profondément dans l’estomac de votre enfant, celui-ci peut manifester les symptômes suivants :</p><ul><li>vomissements</li><li>inconfort ou douleur</li><li>diarrhée</li><li>ballonnements</li></ul><p>Dès qu’un de ces symptômes se manifeste, communiquez avec votre équipe responsable de la sonde G.</p><h3>Prévention des déplacements de la sonde pour gastrostomie endoscopique percutanée Corflo</h3><p>Afin d’empêcher le déplacement de la sonde pour gastrostomie endoscopique percutanée Corflo :</p><ul><li>Prenez toujours soin de fixer la sonde.</li><li>Utilisez une barre ou un dispositif de fixation en forme de coude pour empêcher la sonde d’entrer ou de sortir de la stomie.</li><li>Assurez-vous que la barre ou le dispositif s’adapte parfaitement à la stomie.</li></ul><p>Pendant les deux premières semaines qui suivent l’insertion de la sonde, n’ajustez ni la barre ni le dispositif de fixation coudé. Communiquez avec l’équipe responsable de votre sonde G si vous êtes préoccupé par position de la barre ou du dispositif de fixation coudé.</p><p>Deux semaines après l’insertion initiale de la sonde pour gastrostomie endoscopique percutanée Corflo, vous pouvez ajuster la barre et le dispositif de fixation coudé de manière à ce qu’ils reposent à la stomie.</p><p>Comment corriger la position de la sonde :</p><ol><li>Lavez-vous les mains à l’eau savonneuse.</li><li>Enlevez le ruban adhésif qui retient la sonde à l’abdomen.</li><li>Retirez délicatement la sonde jusqu’à ce qu’une résistance se fasse sentir, ou que le traversin se trouve appuyé sous la peau contre la stomie.</li><li>Ayant cessé de retirer la sonde, ajustez la barre ou le dispositif de fixation coudé pour qu’il repose sur la stomie.</li><li>Fixez la sonde sur l’abdomen à l’aide de ruban adhésif si désiré et assurez-vous qu’elle est bien en place.</li></ol><h3>Sonde G discrète à ballonnet</h3><p>Si votre enfant est muni d’une <a href="/Article?contentid=2908&language=French">sonde G discrète à ballonnet</a>, elle n’ira pas plus loin dans l’estomac. Celle-ci, étant fixée à la peau, se prolonge par la stomie d’où un ballonnet rempli d’eau pend àson extrémité, tout en restant discrète dans l’estomac. Le ballonnet tient la sonde en place. Vérifiez la quantité d’eau qu’il contient au moins une fois par semaine; en quantité trop faible, la sonde pourrait légèrement se déplacer. Utilisez de l’eau stérile ou distillée pour remplir le ballonnet.</p><h2>À l’hôpital SickKids</h2><p>Si votre enfant est un patient de SickKids, communiquez avec l’infirmier-ressource pour les sondes G en cas de préoccupations quelconques.</p><h3>Coordonnées de l’infirmier-ressource :</h3><p>Numéro de téléphone : 416 813 7177</p><p>Téléavertisseur : 416 377 1271</p><p>g.tubenurse@sickkids.ca</p><p>Après les heures de travail ou pendant les fins de semaine, il faudra vous présenter au sevice des urgences pour obtenir une méthode de rechange pour l’alimentation et l’administration de médicaments et de liquides.</p>

 

 

 

 

G/GJ tubes: What to do if your child’s feeding tube moves3041.00000000000G/GJ tubes: What to do if your child’s feeding tube movesG/GJ tubes: What to do if your child’s feeding tube movesGEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Abdomen;Small Intestine;StomachDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2023-04-05T04:00:00Z6.8000000000000073.3000000000000963.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Find out how to prevent your child's G tube from moving in and out of the stoma, and what to do if you suspect it has moved.</p><p>Gastrostomy tubes (G tubes) and gastrojujenostomy tubes (GJ tubes) are feeding devices. A G tube gives liquid nutrition, medication and other fluids directly into the stomach. A GJ tube gives liquid nutrition, medication and other fluids directly into the small intestine (the jejunum). Both G tubes and GJ tubes are placed in a surgical opening in your child's tummy (abdomen) called the stoma. The tunnel from the outside into the stomach is called the tract.</p><table class="akh-table"><tbody><tr><td>The SickKids G-Tube Feeding Program has developed a one page guide to help you quickly troubleshoot any issues with your child's feeding tube: <a href="https://assets.aboutkidshealth.ca/AKHAssets/G%20Tube%20Feeding%20Program%20-%20Family%20One%20Pager.pdf" target="_blank">G-Tube Feeding Program Family One Pager</a></td></tr></tbody></table><h2>Key points</h2><ul><li>If your child’s G tube looks longer or shorter than normal, it may have moved out of position.</li><li>If you child has a G tube inserted by a radiologist using image guidance, it can be re-positioned to sit in the stomach.</li><li>If your child has a GJ tube that moved out of position, you will need to contact the G tube Resource Nurse immediately or visit the emergency department as the tube cannot be re-positioned at home. An image guidance will be required to re-position the tube in the jejunum.</li><li>Always secure the tube properly to prevent it moving in and out of the stoma.</li></ul><p><a href="/Article?contentid=2536&language=English">Corflo PEG tubes</a> and MacLoc G tubes are types of feeding tubes placed by an interventional radiologist using image guidance. Low-profile balloon type G tubes are placed by a G tube specialist (at SickKids this is the G Tube Resource Nurse). If your child’s G tube looks longer or shorter than normal, it may have moved out of position. Depending on the type of G tube your child has, the instructions for moving the tube back into place may be different.</p><h2>Corflo PEG tube</h2><p>A Corflo PEG tube has a round bolster inside the stomach that helps prevent the tube from being pulled out. There is a crossbar or white elbow fixation device at the stoma that helps prevent the tube from moving into the stomach. If the crossbar or elbow fixation device is not sitting at your child’s stoma, the tube may have moved out of position.</p><p>If the Corflo PEG tube has moved farther into the stomach your child may experience the following signs and symptoms.</p><ul><li>Vomiting</li><li>Discomfort or pain</li><li>Diarrhea</li><li>Bloated stomach</li></ul><p>If any of these signs occur, contact your G tube team.</p><h3>Preventing your child’s Corflo PEG tube from moving</h3><p>To prevent your child’s Corflo PEG tube from moving:</p><ul><li>Always secure the tube</li><li>A crossbar or elbow fixation device is used to prevent the tube moving from in and out of the stoma</li><li>Ensure proper fit of the crossbar or elbow fixation device at the stoma</li></ul><p>For the first two weeks after tube insertion, do not adjust the crossbar or elbow fixation device. Contact your G tube team if you have concerns about the placement of the cross bar or elbow fixation device. </p><p>Two weeks after the initial insertion of the Corflo PEG tube, you may adjust the crossbar or elbow fixation device to sit at the stoma.</p><p>How to re-position your child’s Corflo PEG tube:</p><ol><li>Wash your hands with soap and water.</li><li>Remove any tape used to secure the tube to abdomen.</li><li>Pull the tube back gently until resistance felt. This means the bolster is at the end of stoma tract.</li><li>Stop pulling when resistance felt, then adjust the crossbar or elbow fixation device to sit at the stoma.</li><li>Re-tape the tube to the skin if preferred and secure the tube well.</li></ol><h3>What to do if the Corflo PEG tube is partially pulled out</h3><p>Although it is very unlikely, your child's Corflo PEG tube may be pulled out part way, which can cause the bolster on the end of the tube to become stuck in the tract. If this has happened, you may notice the following.</p><ul><li>Significant pain in the G tube area</li><li>A visible hard plastic bulge (the bolster) that does not go away when you move the tube</li><li>You may be able to feel a hard bulge (the bolster) in the tract or stoma</li><li>Formula leaking from the stoma</li><li>If you are concerned that the tube has been partially pulled out and the bolster is stuck, call your G tube specialist right away. On the weekend/after hours, go to the Emergency Department</li></ul><h2>Low-profile balloon type G tube</h2><p>If your child has a <a href="/Article?contentid=2908&language=English">low-profile balloon type G tube</a>, it will not move farther into the stomach. This is a skin level tube that extends through the stoma. There is a balloon filled with water at the end of the tube that is in the stomach. This balloon holds the tube in place. Check the amount of water in the balloon at least once a week; if there is less water in the balloon, the tube may be able to move slightly in the tract. Use sterile or distilled water to refill the balloon.</p><h2>MacLoc G tube</h2><p>If your child has a MacLoc type G tube that looks longer or shorter than normal, it may have moved out of position.</p><p>If the MacLoc type G tube has moved farther into the stomach, your child may experience the following signs and symptoms:</p><ul><li>Vomiting</li><li>Discomfort or pain</li><li>Diarrhea</li><li>Bloated stomach.</li></ul><p>If any of these signs occur, contact your child's G tube team.</p><h3>Preventing your child’s MacLoc G tube from moving<br></h3><p>To prevent your child’s MacLoc type G tube from moving:</p><ul><li>Always secure the tube in place with tape</li><li>Mark the outside part of your child’s feeding tube where it meets the stoma.</li></ul><p>How to mark your child's MacLoc G tube:</p><ol><li>Wash your hands with soap and water</li><li>Remove the tape securing the tube to the skin</li><li>Pull back on the tube gently</li><li>When you feel resistance, stop pulling. Push the tube into the stomach 1–2 cm. </li><li>Re-tape the tube to the skin and mark the tube where it meets the stoma. Use a permanent marker so it will not wash off with your daily soap and water cleaning.</li></ol><p>You may also measure the length of the outside part of the feeding tube, from stoma to adaptor. Make sure to mark this number down somewhere you will remember.</p><h2>Foley catheter</h2><p>A foley catheter may be used as a G tube, J tube, or emergency tube. It has a balloon that sits inside the stomach or jejunum that prevents the tube from being pulled out. A piece of tape used to secure it on the outside and prevent the tube from moving into the stomach or jejunum. If the Foley catheter appears longer or shorter than normal, the tube may have migrated out of place.</p><p>If the Foley catheter migrates inwards, your child may experience the following signs and symptoms:</p><ul><li>vomiting</li><li>abdominal discomfort or pain</li><li>bloated abdomen</li><li>diarrhea </li></ul><p>If the tube has moved inwards, follow these steps:</p><ol><li>Using a slip tip syringe, check the volume of water in the balloon. Re-inflate with appropriate volume (as directed by the health-care team). </li><li>Pull back on the tube until you feel resistance from the balloon. </li><li>Tape the tube down onto the abdomen to prevent it from falling out later.</li></ol> <p>If these symptoms do not improve, please contact your G Tube specialist during business hours or go to the emergency department for assistance, after hours. </p><h3>Preventing your child’s Foley catheter from moving</h3><p>To prevent a Foley catheter from moving:</p><ul><li>Always secure the catheter with tape to the abdomen.</li><li>Check the water volume in the balloon at least once a week. Use sterile or distilled water to refill the balloon.</li><li>Mark the position of the catheter where it meets your child’s stoma. You can use a permanent marker to prevent it washing off with daily cleaning. </li><li>Measure the length of the outside part of the catheter, from stoma to adaptor. This will be a reminder of how long the external length is. </li></ul><p>To mark the catheter:</p><ol><li>Wash your hands with soap and water. </li><li>Remove the tape securing the catheter to the skin. </li><li>Pull the tube gently. When you feel resistance, sop. This is the balloon on the inner side of the tract. </li><li>Re-tape the tube to the skin and mark the tube where it meets the stoma. </li></ol><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>Phone 416-813-7177</p><p>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: What to do if your child’s feeding tube movesFalse

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