Peritonitis related to G tubes and GJ tubesPPeritonitis related to G tubes and GJ tubesPeritonitis related to G tubes and GJ tubesEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Stomach;AbdomenDigestive systemConditions and diseasesAdult (19+) CaregiversNA2018-11-30T05:00:00Z10.200000000000051.1000000000000838.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Peritonitis is a rare but serious complication related to G or GJ tube insertion. Find out what causes peritonitis related to G and GJ tubes, the signs and symptoms, and how it’s treated.</p><p>Gastrostomy tubes (G tubes) and gastrojejunostomy tubes (GJ tubes) are <a href="/tubefeeding">feeding devices</a> that support children who are unable to safely or adequately eat or drink by mouth. A G tube provides liquid nutrition, medication and other fluids directly into the stomach. A GJ tube gives liquid nutrition, medication and other fluids past the stomach directly into the second part of the small bowel, called the jejunum. Both G tubes and GJ tubes are placed through a small, surgical opening in your child’s tummy (abdomen) called a stoma. The tunnel from the outside of the body into the stomach is called the tract.</p><p>A G or GJ tube is easily managed by families and caregivers. However, there can be complications related to G or GJ tube insertion or exchanges.</p><p>Peritonitis is one of the possible complications related to G or GJ tube insertion or exchange. Peritonitis is a very uncommon but serious condition that requires immediate medical attention.<br></p><h2>Key points</h2><ul><li>Peritonitis is a rare complication of G or GJ tube insertion.</li><li>Peritonitis is the inflammation of the inner lining of the abdominal wall, which covers all the organs within the abdomen.</li><li>Risk for developing peritonitis is highest in the first few days after tube insertion. It can also happen after a tube exchange if the newly exchanged tube is misplaced and feeds are given outside the stomach.</li><li>If you have any concerns that your child may have peritonitis, do not use your child’s tube for feeds, fluids or medications. Do not feed your child by mouth. Visit the nearest emergency department immediately. </li></ul><h2>What are the signs and symptoms of peritonitis? </h2><p>A child with peritonitis may show one or more of the following.</p><ul><li>Irritability</li><li>Abdominal pain or tenderness</li><li>Abdominal distention (swollen belly)</li><li>Fever</li><li>Vomiting/feed intolerance</li><li>Firm/tense/rigid abdomen</li><li>Fast heart beat (tachycardia)</li><li>Difficulty breathing (fast breathing, nostrils flaring)</li></ul><p>If you suspect that your child may have peritonitis, <strong>do not use your child's tube for feeds, fluids or medications</strong>. Do not feed your child by mouth. Visit the nearest emergency department immediately and let them know that your child has recently had a tube insertion or exchange.</p><p>Peritonitis is a serious condition that can lead to significant problems and, in severe, untreated cases, death.</p><h2>Risk factors for peritonitis</h2><p>The risk of peritonitis is highest at these times: </p><ul><li>Within the first few days after the primary insertion of a G or GJ tube. The risk of peritonitis after the primary insertion is 1-3%. </li><li>After using a G tube that has just been exchanged, for feeds, medication or fluids without first <a href="/Article?contentid=2908&language=English">confirming the tube is properly placed in the stomach</a>.</li><li>After using a temporary tube, such as a Foley catheter, for feeds, medication or fluids without first confirming the tube is properly placed in the stomach. </li></ul><h2>Diagnosis of peritonitis</h2><p>When your child arrives at the hospital, they will need to be assessed to determine if they have peritonitis.</p><p>The assessment may include the following.</p><ul><li>A physical examination of your child’s abdomen to determine if their abdomen is distended, tender or has absent bowel sounds assessed using a stethoscope to the abdomen</li><li>Blood tests</li><li>X-rays</li><li>Ultrasounds</li><li>A check of the G or GJ tube placement</li></ul><h2>Treatment of peritonitis</h2><p>Multiple antibiotics are usually given to treat peritonitis. The type of antibiotics will depend on the severity of the peritonitis.</p><p>Your child’s feeds may need to be stopped for a few days while they get better. Your child will need to be admitted for the treatment of peritonitis.</p><p>On rare occasions, a surgery may be needed to clean out the infection in the abdomen.</p><p>Contact your G tube specialist if you have any questions or concerns about your child’s feeding tube or about peritonitis. If you suspect your child has peritonitis, take your child to the <a href="http://www.sickkids.ca/VisitingSickKids/emergency/index.html">Emergency Department</a> right away.</p>
Péritonite liée aux sondes de gastrostomie (G) et aux sondes de gastrojéjunostomie (GJ)PPéritonite liée aux sondes de gastrostomie (G) et aux sondes de gastrojéjunostomie (GJ)Peritonitis related to G tubes and GJ tubesFrenchGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Stomach;AbdomenDigestive systemConditions and diseasesAdult (19+) CaregiversNA2018-11-30T05:00:00Z10.200000000000051.1000000000000838.000000000000Health (A-Z) - ConditionsHealth A-Z<p>La péritonite est une complication rare, mais grave liée à l’insertion d’une sonde de gastrostomie (G) ou de gastrojéjunostomie (GJ). Découvrez les causes de la péritonite liée aux sondes G et GJ, les symptômes, ainsi que les modalités de traitement.</p><p>Les sondes de gastrostomie (sondes G) et les sondes de gastrojéjunostomie (sondes GJ) sont des dispositifs d’alimentation qui assistent les enfants incapables de manger ou de boire par la bouche de façon adéquate ou sécuritaire. Une sonde G permet d’assurer la nutrition sous forme liquide ainsi que l’administration de médicaments et le passage d’autres liquides directement à l’estomac. Une sonde GJ sert à la nutrition liquide, à l’administration de médicaments et au passage d’autres liquides dans une région plus basse que l’estomac, soit directement dans la deuxième partie de l’intestin grêle, que l’on appelle jéjunum. Les sondes G et GJ sont insérées dans une petite ouverture chirurgicale pratiquée dans le ventre (abdomen) de votre enfant, que l’on appelle stomie. On appelle tractus le tunnel depuis l’extérieur du corps vers l’estomac.</p><p>Une sonde G ou GJ est facilement prise en charge par les familles et les soignants. Cependant, l’insertion ou le remplacement d’une sonde G ou GJ peut entraîner des complications.</p><p>La péritonite est l’une des complications possibles liées à l’insertion ou au remplacement d’une sonde G ou GJ. La péritonite est très peu courante, mais il s’agit d’un état grave qui requiert des soins médicaux immédiats.<br></p><h2>À retenir</h2><ul><li>La péritonite est une complication rare liée à l’insertion d’une sonde de gastrostomie (G) ou de gastrojéjunostomie (GJ).</li><li>La péritonite est l’inflammation de la couche interne de la paroi abdominale qui recouvre tous les organes dans l’abdomen.</li><li>C’est durant les quelques premiers jours qui suivent l’insertion de la sonde que le risque de péritonite est le plus élevé. Elle peut survenir également après le remplacement de la sonde, si la nouvelle sonde est mal placée et que les aliments ne passent pas par l’estomac.</li><li>Si vous craignez que votre enfant ait une péritonite, n’utilisez pas sa sonde pour introduire des aliments ou des liquides, ou administrer des médicaments. N’alimentez pas votre enfant par la bouche. Rendez-vous immédiatement au service d’urgence le plus proche.</li></ul><h2>Quels sont les symptômes de la péritonite?</h2><p>Un enfant atteint de péritonite peut présenter un ou plusieurs des symptômes suivants :</p><ul><li>irritabilité;</li><li>douleur ou sensibilité abdominale;</li><li>distension abdominale (ventre gonflé);</li><li>fièvre;</li><li>vomissements/intolérance à la nutrition;</li><li>abdomen dur/tendu/rigide;</li><li>rythme cardiaque rapide (tachycardie);</li><li>difficultés respiratoires (respiration rapide, narines dilatées).</li></ul><p>Si vous soupçonnez une péritonite chez votre enfant, <strong>n’utilisez pas sa sonde pour lui servir des aliments et des liquides ou lui administrer des médicaments</strong>. N’alimentez pas votre enfant par la bouche. Rendez-vous immédiatement au service d’urgence le plus proche et informez le personnel que votre enfant se servait d’une sonde récemment mise en place ou remplacée.</p><p>La péritonite est un état grave pouvant entraîner des problèmes majeurs et, dans des cas graves non traités, la mort.</p><h2>Facteurs de risque associés à la péritonite</h2><p>Le risque de péritonite est plus élevé durant ces périodes :</p><ul><li>Dans les premiers jours suivant la première insertion d’une sonde G ou GJ. Le risque de péritonite est de 1 à 3 % après la première insertion.</li><li>Après avoir utilisé une sonde G récemment remplacée pour servir des aliments et des liquides ou administrer des médicaments sans <a href="/Article?contentid=2908&language=French">s’être d’abord assuré que la sonde soit correctement placée dans l’estomac</a>.</li><li>Après avoir utilisé une sonde temporaire, par exemple une sonde de Foley, pour servir des aliments et des liquides ou administrer des médicaments sans s’être d’abord assuré que la sonde soit correctement placée dans l’estomac.</li></ul><h2>Diagnostic de la péritonite</h2><p>Lorsque votre enfant arrive à l’hôpital, il faudra le soumettre à une évaluation en vue de déterminer s’il a une péritonite.</p><p>L’évaluation comprendra les volets suivants :</p><ul><li>un examen physique de l’abdomen de votre enfant en vue de déterminer si son abdomen est distendu, sensible, ou de déceler l’absence de bruits intestinaux à l’aide d’un stéthoscope posé sur l’abdomen;</li><li>des prises de sang;</li><li>des radiographies;</li><li>des ultrasons;</li><li>la vérification de la pose de la sonde G ou GJ.</li></ul><h2>Traitement de la péritonite</h2><p>Habituellement, plusieurs antibiotiques sont administrés pour traiter la péritonite. Le type d’antibiotique dépendra de la gravité de la péritonite.</p><p>Il faudra peut-être interrompre l’alimentation de votre enfant pendant les quelques jours qu’il lui faudra pour se rétablir. Votre enfant devra être admis pour le traitement de la péritonite.</p><p>À de rares occasions, une intervention chirurgicale peut être nécessaire pour nettoyer l’infection dans l’abdomen.</p><p>Communiquez avec un spécialiste des sondes G si vous avez des questions ou des préoccupations concernant la sonde d’alimentation de votre enfant ou la péritonite. Si vous soupçonnez une péritonite chez votre enfant, emmenez-le immédiatement au <a href="http://www.sickkids.ca/VisitingSickKids/emergency/index.html">service d’urgence</a> (en anglais).</p>

 

 

 

 

Peritonitis related to G tubes and GJ tubes3398.00000000000Peritonitis related to G tubes and GJ tubesPeritonitis related to G tubes and GJ tubesPEnglishGastrointestinal;OtherChild (0-12 years);Teen (13-18 years)Stomach;AbdomenDigestive systemConditions and diseasesAdult (19+) CaregiversNA2018-11-30T05:00:00Z10.200000000000051.1000000000000838.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Peritonitis is a rare but serious complication related to G or GJ tube insertion. Find out what causes peritonitis related to G and GJ tubes, the signs and symptoms, and how it’s treated.</p><p>Gastrostomy tubes (G tubes) and gastrojejunostomy tubes (GJ tubes) are <a href="/tubefeeding">feeding devices</a> that support children who are unable to safely or adequately eat or drink by mouth. A G tube provides liquid nutrition, medication and other fluids directly into the stomach. A GJ tube gives liquid nutrition, medication and other fluids past the stomach directly into the second part of the small bowel, called the jejunum. Both G tubes and GJ tubes are placed through a small, surgical opening in your child’s tummy (abdomen) called a stoma. The tunnel from the outside of the body into the stomach is called the tract.</p><p>A G or GJ tube is easily managed by families and caregivers. However, there can be complications related to G or GJ tube insertion or exchanges.</p><p>Peritonitis is one of the possible complications related to G or GJ tube insertion or exchange. Peritonitis is a very uncommon but serious condition that requires immediate medical attention.<br></p><h2>What is peritonitis?</h2><p>Peritonitis is the inflammation of the inner lining of the abdominal wall (parietal peritoneum) and tissues covering your organs (visceral peritoneum). </p><p>When peritonitis is related to a G or GJ tube, it is often caused by stomach contents leaking into the space that surrounds the stomach and bowel (peritoneal cavity). Your child’s medical team will watch very closely for signs of peritonitis during their hospital stay after tube insertion. </p> <figure class="asset-c-100"> <span class="asset-image-title">Normal G tube placement vs peritonitis</span><img src="https://assets.aboutkidshealth.ca/akhassets/Peritonitis_EN.jpg" alt="" /><figcaption class="asset-image-caption">Peritonitis may occur if the G tube is misplaced into the peritoneal cavity, instead of directly into the stomach. Stomach contents may leak into the space that surrounds the stomach and bowels, causing inflammation of the peritoneum.</figcaption> </figure> <p>Peritonitis may also occur when a tube is misplaced into the peritoneal cavity, rather than directly into the stomach. This may happen if you exchange the tube at home or it is exchanged at the hospital. Always monitor your child for signs and symptoms of peritonitis after a tube change, whether they are at home or at the hospital. A child is at higher risk for peritonitis after a tube exchange. Tube exchanges usually happen as an outpatient, so it is important that you watch for signs of peritonitis for the first several days at home.</p><h2>Key points</h2><ul><li>Peritonitis is a rare complication of G or GJ tube insertion.</li><li>Peritonitis is the inflammation of the inner lining of the abdominal wall, which covers all the organs within the abdomen.</li><li>Risk for developing peritonitis is highest in the first few days after tube insertion. It can also happen after a tube exchange if the newly exchanged tube is misplaced and feeds are given outside the stomach.</li><li>If you have any concerns that your child may have peritonitis, do not use your child’s tube for feeds, fluids or medications. Do not feed your child by mouth. Visit the nearest emergency department immediately. </li></ul><h2>What are the signs and symptoms of peritonitis? </h2><p>A child with peritonitis may show one or more of the following.</p><ul><li>Irritability</li><li>Abdominal pain or tenderness</li><li>Abdominal distention (swollen belly)</li><li>Fever</li><li>Vomiting/feed intolerance</li><li>Firm/tense/rigid abdomen</li><li>Fast heart beat (tachycardia)</li><li>Difficulty breathing (fast breathing, nostrils flaring)</li></ul><p>If you suspect that your child may have peritonitis, <strong>do not use your child's tube for feeds, fluids or medications</strong>. Do not feed your child by mouth. Visit the nearest emergency department immediately and let them know that your child has recently had a tube insertion or exchange.</p><p>Peritonitis is a serious condition that can lead to significant problems and, in severe, untreated cases, death.</p><h2>Risk factors for peritonitis</h2><p>The risk of peritonitis is highest at these times: </p><ul><li>Within the first few days after the primary insertion of a G or GJ tube. The risk of peritonitis after the primary insertion is 1-3%. </li><li>After using a G tube that has just been exchanged, for feeds, medication or fluids without first <a href="/Article?contentid=2908&language=English">confirming the tube is properly placed in the stomach</a>.</li><li>After using a temporary tube, such as a Foley catheter, for feeds, medication or fluids without first confirming the tube is properly placed in the stomach. </li></ul><h2>Diagnosis of peritonitis</h2><p>When your child arrives at the hospital, they will need to be assessed to determine if they have peritonitis.</p><p>The assessment may include the following.</p><ul><li>A physical examination of your child’s abdomen to determine if their abdomen is distended, tender or has absent bowel sounds assessed using a stethoscope to the abdomen</li><li>Blood tests</li><li>X-rays</li><li>Ultrasounds</li><li>A check of the G or GJ tube placement</li></ul><h2>Treatment of peritonitis</h2><p>Multiple antibiotics are usually given to treat peritonitis. The type of antibiotics will depend on the severity of the peritonitis.</p><p>Your child’s feeds may need to be stopped for a few days while they get better. Your child will need to be admitted for the treatment of peritonitis.</p><p>On rare occasions, a surgery may be needed to clean out the infection in the abdomen.</p><p>Contact your G tube specialist if you have any questions or concerns about your child’s feeding tube or about peritonitis. If you suspect your child has peritonitis, take your child to the <a href="http://www.sickkids.ca/VisitingSickKids/emergency/index.html">Emergency Department</a> right away.</p>https://assets.aboutkidshealth.ca/akhassets/Peritonitis_EN.jpgPeritonitis related to G tubes and GJ tubesFalse