G/GJ tubes: Troubleshooting tube feedingGG/GJ tubes: Troubleshooting tube feedingG/GJ tubes: Troubleshooting tube feedingEnglishGastrointestinal;Other(diagnostic imaging, bloodwork, picc line, procedures�.)Child (0-12 years);Teen (13-18 years)Abdomen;Stomach;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2019-08-01T04:00:00ZHolly Norgrove, RN, BScN;Silvana Oppedisano, MN, RN(EC)8.6000000000000059.2000000000000771.000000000000Flat ContentHealth A-Z<p>Learn about some of the problems that may occur with your child's feeding tube, why this is happening and what you can do to fix it.</p><h2>What are G and GJ tubes?</h2><p>Gastrostomy tubes (G tubes) and gastrojejunostomy 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 of the body into the stomach is called the tract.</p><h2>Key points</h2><ul><li>You may encounter problems with when using a feeding tube, including problems with the tube, giving feeds or health concerns with your child.</li><li>If you cannot resolve the problem, contact the G tube resource nurse or your child’s doctor.</li></ul><h2>At SickKids</h2><p>If your child is a SickKids patient, contact the G tube resource nurse at 416-813-7270, extension 4, with any questions or concerns.</p>

 

 

 

 

G/GJ tubes: Troubleshooting tube feeding3826.00000000000G/GJ tubes: Troubleshooting tube feedingG/GJ tubes: Troubleshooting tube feedingGEnglishGastrointestinal;Other(diagnostic imaging, bloodwork, picc line, procedures�.)Child (0-12 years);Teen (13-18 years)Abdomen;Stomach;Small IntestineDigestive systemNon-drug treatmentAdult (19+) CaregiversNA2019-08-01T04:00:00ZHolly Norgrove, RN, BScN;Silvana Oppedisano, MN, RN(EC)8.6000000000000059.2000000000000771.000000000000Flat ContentHealth A-Z<p>Learn about some of the problems that may occur with your child's feeding tube, why this is happening and what you can do to fix it.</p><h2>What are G and GJ tubes?</h2><p>Gastrostomy tubes (G tubes) and gastrojejunostomy 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 of the body into the stomach is called the tract.</p><h2>Key points</h2><ul><li>You may encounter problems with when using a feeding tube, including problems with the tube, giving feeds or health concerns with your child.</li><li>If you cannot resolve the problem, contact the G tube resource nurse or your child’s doctor.</li></ul><h2>Common solutions to problems with G and GJ tubes</h2><h3>Mechanical problems</h3><p>Replace the balloon G tube </p> <a href="/Article?contentid=2536&language=English&hub=tubefeeding"></a> <table class="akh-table" style="width:888px;height:706px;"><thead><tr><th>Problem</th><th>Why is this happening?</th><th>How to solve the problem</th></tr></thead><tbody><tr><td rowspan="3"> <a href="/Article?contentid=3817&language=English&hub=tubefeeding">Gravity feeds</a> stop running during the feed<br></td><td>Roller clamp is not open enough</td><td>Open the roller clamp more</td></tr><tr><td style="height:142px;">Feeding bag or tube is blocked</td><td style="height:142px;"><p>Remove the feeding bag; empty formula from the bag and rinse with warm water</p><p> <a href="/Article?contentid=3817&language=English&hub=tubefeeding">Flush</a> the tube with a minimum of 5 to 10 mL of warm water</p><p>Remove and clean the extension set on your child’s tube</p><p>Replace the feeding bag and extension set </p><p>Replace the <a href="/Article?contentid=2908&language=English&hub=tubefeeding">balloon G tube</a></p></td></tr><tr><td>Your child shifted position</td><td>Monitor the feed while it is running</td></tr><tr><td rowspan="3"><p>Pump beeps continuously</p><p>Pump gives you an error message </p><p>Pump stops unexpectedly </p></td><td>Tubing is not properly placed in pump</td><td><p>Check the feeding bag tubing for kinks or disconnection</p><p>Restart the pump</p></td></tr><tr><td>The feeding bag or tube is blocked</td><td><p>Remove the feeding bag; empty formula from the bag and rinse with warm water; re-insert it in the pump</p><p>Flush the tube with a minimum of 5 to 10 mL of warm water </p><p>Remove and clean the extension set on your child’s tube</p><p>Replace the feeding bag and extension set</p></td></tr><tr><td>Pump malfunctions</td><td>Call the help number on the back of your pump or call the store you purchased your pump from for assistance</td></tr><tr><td>Feeding bag or tubing are still blocked after rinsing</td><td>Old formula or medication residues may block tubing </td><td><p> <a href="/Article?contentid=3817&language=English&hub=tubefeeding">Clean</a> with soap and water after each feed</p><p>Use white vinegar solution</p><p>Change the feeding bag</p></td></tr><tr><td>The Corflo PEG Y-adaptor is broken </td><td>The adaptor is old, or became damaged during use</td><td> <a href="/Article?contentid=2536&language=English&hub=tubefeeding">Change the Y-adaptor</a></td></tr><tr><td>The clamp on the Corflo PEG tube is not working properly</td><td>The clamp is damaged</td><td> <a href="/Article?contentid=2536&language=English&hub=tubefeeding">Replace the clamp</a> on the Corflo PEG tube</td></tr><tr><td>The crossbar is too tight or too loose on the <a href="/Article?contentid=2536&language=English&hub=tubefeeding">Corflo PEG</a> or <a href="/Article?contentid=3387&language=English&hub=tubefeeding">Corflo PEG J tube</a></td><td>The crossbar was not adjusted properly or it moved </td><td><p> <a href="/Article?contentid=2536&language=English&hub=tubefeeding">Gently slide</a> the round piece above the crossbar and the crossbar itself up or down the tube</p><p>Do not pull on the tube</p></td></tr></tbody></table><h3>Your child is unwell</h3><table class="akh-table"><thead><tr><th>Symptoms</th><th>Why is this happening?</th><th>How to help your child</th></tr></thead><tbody><tr><td rowspan="8">Vomiting</td><td>There may be stomach or intestine problems (gastrointestinal condition, such as poor stomach emptying, reflux, obstruction or constipation)</td><td>Talk to your doctor about treatment for reflux and/or constipation</td></tr><tr><td>Illness (gastrointestinal virus or respiratory illness)</td><td><p>You may need to slow down the feed rate or give smaller feeds more often</p><p>Give Pedialyte or Enfalyte if your child is not tolerating their regular feeds </p><p>See your child’s doctor if you are concerned about <a href="/Article?contentid=776&language=English">dehydration</a></p></td></tr><tr><td>Stomach is too full</td><td>Stop the feed and <a href="/Article?contentid=3827&language=English&hub=tubefeeding">vent the G tube</a></td></tr><tr><td>The feed was given too quickly</td><td><p>Reassess the rate of the feed</p><p>Use appropriate feeding method (bolus, continuous, gravity, pump)</p><p>Vent the G tube</p></td></tr><tr><td>Broken/leaking tube</td><td><p>Examine the tube for defects and/or breakage</p><p>Replace the <a href="/Article?contentid=2908&language=English&hub=tubefeeding">balloon G tube</a> if broken</p></td></tr><tr><td> <a href="/Article?contentid=3041&language=English&hub=tubefeeding">Tube migration</a></td><td>Check mark on G tube</td></tr><tr><td>Aspiration</td><td>Elevate your child’s head during feed</td></tr><tr><td>GJ <a href="/Article?contentid=3041&language=English&hub=tubefeeding">tube migration</a><br></td><td>Call the G tube resource nurse</td></tr><tr><td rowspan="5">Diarrhea</td><td>Formula intolerance</td><td>Talk to your child’s health-care team about switching to a different formula</td></tr><tr><td>Gastrointestinal virus (stomach flu)</td><td><p>You may need to slow down the feed rate or give smaller feeds more often</p><p>Give Pedialyte or Enfalyte if your child is not tolerating their regular feeds </p><p>See your child’s doctor if you are concerned about dehydration</p></td></tr><tr><td> <a href="/GHN">Gastrointestinal condition</a> (short bowel syndrome, bowel inflammation)</td><td>Decrease rate of feed until your child’s diarrhea disappears and slowly build back up to their usual rate</td></tr><tr><td>Your child suffers from side effects due to antibiotics</td><td>Talk to your child’s health care team if your child has developed diarrhea while on antibiotics</td></tr><tr><td>GJ <a href="/Article?contentid=3041&language=English&hub=tubefeeding">tube migration</a></td><td>Call the G tube resource nurse or your G tube specialist</td></tr></tbody></table><h2>At SickKids</h2><p>If your child is a SickKids patient, contact the G tube resource nurse at 416-813-7270, extension 4, with any questions or concerns.</p>G/GJ tubes: Troubleshooting tube feedingFalse