G-tube And Peg-tube

Nurses General Nursing

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Hello Everyone I Have A Patient Who Currently Has A Gtube It Continuosly Comes Out And Has To Replaced Almost Every Other Day. Her Dr. Says That She Needs To Have A Peg Tube Put In Can This Be Put In At Home By The Dr And Can It Be Put In The Same Place

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Specializes in 27 yrs in long term care, 5 yrs office.

Not sure if this is what you mean, but a g tube is a peg tube, unless you mean a nasal gastric tube, then the proceedure to place a peg tube is done during an EGD. That is done with the pt being lightly sedated, as an incision needs to be made to place the pegtube--usually several months after the tube has been place, the initial tube can be replaced (if there are problems) w/gtube w/balloon, and that one can be placed in the GI Docs office. If the tube comes out a foley can be inserted until you can get the pt to the doc. (we did do this in nursing home I once worked at) The site heals rapidly, like in a matter of hours, if tube isn't in place.

Hope this answer helps.

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Actually a G Tube is not a Peg Tube. A peg tube is put in usually in the hospital and is sutured in , I believe. It is imperative that nurses NEVER try to replace a peg tube with a G tube, as it can end up in the peritoneum.This happened in a facility I worked in and the patient ended up with a massive case of peritonitis and subsequently died.

OK found a clarification of my statement here:http://www.gesa.org.au/pdf/factsheets/Emergency_PEG_1Ed_07.pdf

Until a Peg tube has been in for 6 weeks there will not be a mature track and attempting to place a g tube(catheter type with balloon) in the space may end up in the peritoneum and should not be attempted.

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https://allnurses.com/forums/f21/difference-between-g-tube-peg-tube-168778.html

Here is a thread about Peg tubes and G tubes, explaines it way better than I did.

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