Clogged G-tube - Revision history

Rossdonaldson1: /* Disposition */

2026-04-15T19:42:17Z

Disposition

← Revisión anterior		Revisión del 19:42 15 abr 2026
Línea 66:		Línea 66:
	**Signs of peritonitis or tube dislodgement with peritoneal contamination		**Signs of peritonitis or tube dislodgement with peritoneal contamination
	**Dehydration or electrolyte abnormalities from prolonged inability to feed		**Dehydration or electrolyte abnormalities from prolonged inability to feed
	*Arrange follow-up with GI or surgery for recurrent clogging issues

	==See Also==		==See Also==

Rossdonaldson1 at 19:41, 15 April 2026

2026-04-15T19:41:08Z

← Revisión anterior		Revisión del 19:41 15 abr 2026
Línea 1:		Línea 1:
	<languages/>		<languages/>
	~~<translate>~~

	==Background==		==Background==
	[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]		[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]
Línea 18:		Línea 16:

	==Differential Diagnosis==		==Differential Diagnosis==
	~~</translate>~~
	{{DDX G-tube}}		{{DDX G-tube}}
	~~<translate>~~

	==Evaluation==		==Evaluation==
Línea 82:		Línea 78:
	[[Category:Symptoms]]		[[Category:Symptoms]]
	[[Category:Surgery]]		[[Category:Surgery]]

	~~</translate>~~

Rossdonaldson1 at 19:40, 15 April 2026

2026-04-15T19:40:19Z

← Revisión anterior		Revisión del 19:40 15 abr 2026
Línea 1:		Línea 1:
	<languages/>		<languages/>
	<translate>		<translate>


	==Background==		==Background==
Línea 13:		Línea 12:
	*Most PEGs are 18F to 28F and may be used for 12-24mo		*Most PEGs are 18F to 28F and may be used for 12-24mo

	==Clinical Features== ~~<!--T:3-->~~		==Clinical Features==

	~~<!--T:4-->~~
	[[File:PMC4979342 AMS-6-44-g005.png\|thumb\|Child with percutaneous gastrostomy tube (G-tube)]]		[[File:PMC4979342 AMS-6-44-g005.png\|thumb\|Child with percutaneous gastrostomy tube (G-tube)]]
	*G-tube can be clogged with medications or feeding solution		*G-tube can be clogged with medications or feeding solution
	*Inability to pass feeds or aspirate from g-tube		*Inability to pass feeds or aspirate from g-tube

			==Differential Diagnosis==

	==Differential Diagnosis== ~~<!--T:5-->~~

	</translate>		</translate>
	{{DDX G-tube}}		{{DDX G-tube}}
	<translate>		<translate>

			==Evaluation==

	==Evaluation== ~~<!--T:6-->~~

	~~<!--T:7-->~~
	*Clinical diagnosis		*Clinical diagnosis
	*Attempts should not be made to clear tube if uncertain position/integrity of tube		*Attempts should not be made to clear tube if uncertain position/integrity of tube

			==Management==
			===Mechanical Interventions===
	==Management== ~~<!--T:8-->~~


	===Mechanical Interventions=== ~~<!--T:9-->~~

	~~<!--T:10-->~~
	*Attempt to milk back cheesy precipitants, if the tube is pliant		*Attempt to milk back cheesy precipitants, if the tube is pliant
	*Gentle back-and-forth flushing with saline: be patient, continue pumping back and forth (even if you feel no forward flow or change) for a few minutes		*Gentle back-and-forth flushing with saline: be patient, continue pumping back and forth (even if you feel no forward flow or change) for a few minutes
Línea 58:		Línea 42:
	**Catheters are prone to aneurysm and rupture (especially Broviaks) therefore, always confirm tube integrity with contrast radiography if this method is used		**Catheters are prone to aneurysm and rupture (especially Broviaks) therefore, always confirm tube integrity with contrast radiography if this method is used

			===Pharmacologic Interventions===

	===Pharmacologic Interventions=== ~~<!--T:11-->~~

	~~<!--T:12-->~~
	*Coca-cola has not been shown to be superior to water and may result in precipitants and further blockage		*Coca-cola has not been shown to be superior to water and may result in precipitants and further blockage
	*Meat tenderizer and cranberry juice no better than warm water		*Meat tenderizer and cranberry juice no better than warm water
Línea 71:		Línea 51:
	**Dissolve powder mix in 5 cc warm water to achieve activated pancrelipase ~pH 8 sln		**Dissolve powder mix in 5 cc warm water to achieve activated pancrelipase ~pH 8 sln

			===Complications===

	===Complications=== ~~<!--T:13-->~~

	~~<!--T:14-->~~
	*Catheter perforation, aneurysm, or displacement		*Catheter perforation, aneurysm, or displacement
	*Internal catheter leak		*Internal catheter leak
	*Stomach perforation		*Stomach perforation

			===Imaging===

	===Imaging=== ~~<!--T:15-->~~

	~~<!--T:16-->~~
	*Ensure patency and placement with KUB with 20-30ml of water soluble contrast (ie gastrografin) post flushing		*Ensure patency and placement with KUB with 20-30ml of water soluble contrast (ie gastrografin) post flushing

			==External Links==

	==External Links== ~~<!--T:17-->~~


	==Disposition==		==Disposition==
Línea 103:		Línea 72:
	*Arrange follow-up with GI or surgery for recurrent clogging issues		*Arrange follow-up with GI or surgery for recurrent clogging issues

	==See Also== ~~<!--T:18-->~~		==See Also==

	~~<!--T:19-->~~
	*[[Special:MyLanguage/G-tube complications\|G-tube complications]]		*[[Special:MyLanguage/G-tube complications\|G-tube complications]]

			==References==

	==References== ~~<!--T:20-->~~

	~~<!--T:21-->~~
	<references/>		<references/>

	~~<!--T:22-->~~
	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:GI]]		[[Category:GI]]

Rossdonaldson1 at 19:38, 15 April 2026

2026-04-15T19:38:00Z

← Revisión anterior		Revisión del 19:38 15 abr 2026
Línea 3:		Línea 3:


	==Background== ~~<!--T:1-->~~		==Background==

	~~<!--T:2-->~~
	[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]		[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]
	*The percutaneous gastrostomy tube (PEG) is commonly indicated in:		*The percutaneous gastrostomy tube (PEG) is commonly indicated in:
Línea 14:		Línea 12:
	**mechanical apposition of the stomach to the abdominal wall to prevent hiatal herniation.		**mechanical apposition of the stomach to the abdominal wall to prevent hiatal herniation.
	*Most PEGs are 18F to 28F and may be used for 12-24mo		*Most PEGs are 18F to 28F and may be used for 12-24mo



	==Clinical Features== <!--T:3-->		==Clinical Features== <!--T:3-->

Danbot: Add evidence-based Disposition section

2026-03-22T10:08:13Z

Add evidence-based Disposition section

← Revisión anterior		Revisión del 10:08 22 mar 2026
Línea 95:		Línea 95:
	==External Links== <!--T:17-->		==External Links== <!--T:17-->


			==Disposition==
			*Discharge if:
			**G-tube successfully unclogged and functioning
			**Patient tolerating feeds
			**Caregiver able to manage at home
			*Admit for:
			**Unable to unclog tube and requires replacement
			**Signs of peritonitis or tube dislodgement with peritoneal contamination
			**Dehydration or electrolyte abnormalities from prolonged inability to feed
			*Arrange follow-up with GI or surgery for recurrent clogging issues

	==See Also== <!--T:18-->		==See Also== <!--T:18-->

Ostermayer: Marked this version for translation

2026-01-07T12:31:46Z

Marked this version for translation

← Revisión anterior		Revisión del 12:31 7 ene 2026
Línea 3:		Línea 3:


	==Background==		==Background== <!--T:1-->

			<!--T:2-->
	[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]		[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]
	*The percutaneous gastrostomy tube (PEG) is commonly indicated in:		*The percutaneous gastrostomy tube (PEG) is commonly indicated in:
Línea 16:		Línea 17:


	==Clinical Features==		==Clinical Features== <!--T:3-->

			<!--T:4-->
	[[File:PMC4979342 AMS-6-44-g005.png\|thumb\|Child with percutaneous gastrostomy tube (G-tube)]]		[[File:PMC4979342 AMS-6-44-g005.png\|thumb\|Child with percutaneous gastrostomy tube (G-tube)]]
	*G-tube can be clogged with medications or feeding solution		*G-tube can be clogged with medications or feeding solution
Línea 24:		Línea 26:


	==Differential Diagnosis==		==Differential Diagnosis== <!--T:5-->

	</translate>		</translate>
Línea 32:		Línea 34:


	==Evaluation==		==Evaluation== <!--T:6-->

			<!--T:7-->
	*Clinical diagnosis		*Clinical diagnosis
	*Attempts should not be made to clear tube if uncertain position/integrity of tube		*Attempts should not be made to clear tube if uncertain position/integrity of tube
Línea 39:		Línea 42:


	==Management==		==Management== <!--T:8-->


	===Mechanical Interventions===		===Mechanical Interventions=== <!--T:9-->

			<!--T:10-->
	*Attempt to milk back cheesy precipitants, if the tube is pliant		*Attempt to milk back cheesy precipitants, if the tube is pliant
	*Gentle back-and-forth flushing with saline: be patient, continue pumping back and forth (even if you feel no forward flow or change) for a few minutes		*Gentle back-and-forth flushing with saline: be patient, continue pumping back and forth (even if you feel no forward flow or change) for a few minutes
Línea 60:		Línea 64:


	===Pharmacologic Interventions===		===Pharmacologic Interventions=== <!--T:11-->

			<!--T:12-->
	*Coca-cola has not been shown to be superior to water and may result in precipitants and further blockage		*Coca-cola has not been shown to be superior to water and may result in precipitants and further blockage
	*Meat tenderizer and cranberry juice no better than warm water		*Meat tenderizer and cranberry juice no better than warm water
Línea 72:		Línea 77:


	===Complications===		===Complications=== <!--T:13-->

			<!--T:14-->
	*Catheter perforation, aneurysm, or displacement		*Catheter perforation, aneurysm, or displacement
	*Internal catheter leak		*Internal catheter leak
Línea 80:		Línea 86:


	===Imaging===		===Imaging=== <!--T:15-->

			<!--T:16-->
	*Ensure patency and placement with KUB with 20-30ml of water soluble contrast (ie gastrografin) post flushing		*Ensure patency and placement with KUB with 20-30ml of water soluble contrast (ie gastrografin) post flushing



	==External Links==		==External Links== <!--T:17-->


	==See Also==		==See Also== <!--T:18-->

			<!--T:19-->
	*[[Special:MyLanguage/G-tube complications\|G-tube complications]]		*[[Special:MyLanguage/G-tube complications\|G-tube complications]]



	==References==		==References== <!--T:20-->

			<!--T:21-->
	<references/>		<references/>

			<!--T:22-->
	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:GI]]		[[Category:GI]]

Ostermayer: Prepared the page for translation

2026-01-04T21:53:51Z

Prepared the page for translation

← Revisión anterior		Revisión del 21:53 4 ene 2026
Línea 1:		Línea 1:
	<languages/>		<languages/>
	<translate>		<translate>


	==Background==		==Background==
Línea 12:		Línea 13:
	**mechanical apposition of the stomach to the abdominal wall to prevent hiatal herniation.		**mechanical apposition of the stomach to the abdominal wall to prevent hiatal herniation.
	*Most PEGs are 18F to 28F and may be used for 12-24mo		*Most PEGs are 18F to 28F and may be used for 12-24mo



Línea 19:		Línea 21:
	*G-tube can be clogged with medications or feeding solution		*G-tube can be clogged with medications or feeding solution
	*Inability to pass feeds or aspirate from g-tube		*Inability to pass feeds or aspirate from g-tube



Línea 26:		Línea 29:
	{{DDX G-tube}}		{{DDX G-tube}}
	<translate>		<translate>



Línea 32:		Línea 36:
	*Clinical diagnosis		*Clinical diagnosis
	*Attempts should not be made to clear tube if uncertain position/integrity of tube		*Attempts should not be made to clear tube if uncertain position/integrity of tube



Línea 52:		Línea 57:
	**The smaller the syringe used, the greater the force that can be applied (pascal's principle)		**The smaller the syringe used, the greater the force that can be applied (pascal's principle)
	**Catheters are prone to aneurysm and rupture (especially Broviaks) therefore, always confirm tube integrity with contrast radiography if this method is used		**Catheters are prone to aneurysm and rupture (especially Broviaks) therefore, always confirm tube integrity with contrast radiography if this method is used



Línea 63:		Línea 69:
	**Crush 1 non-enteric sodium bicarbonate 324mg tab to fine powder		**Crush 1 non-enteric sodium bicarbonate 324mg tab to fine powder
	**Dissolve powder mix in 5 cc warm water to achieve activated pancrelipase ~pH 8 sln		**Dissolve powder mix in 5 cc warm water to achieve activated pancrelipase ~pH 8 sln



Línea 70:		Línea 77:
	*Internal catheter leak		*Internal catheter leak
	*Stomach perforation		*Stomach perforation



Línea 75:		Línea 83:

	*Ensure patency and placement with KUB with 20-30ml of water soluble contrast (ie gastrografin) post flushing		*Ensure patency and placement with KUB with 20-30ml of water soluble contrast (ie gastrografin) post flushing



Línea 83:		Línea 92:

	*[[Special:MyLanguage/G-tube complications\|G-tube complications]]		*[[Special:MyLanguage/G-tube complications\|G-tube complications]]



Línea 93:		Línea 103:
	[[Category:Symptoms]]		[[Category:Symptoms]]
	[[Category:Surgery]]		[[Category:Surgery]]

	</translate>		</translate>

Ostermayer: Prepared the page for translation

2026-01-04T21:49:37Z

Prepared the page for translation

← Revisión anterior		Revisión del 21:49 4 ene 2026
Línea 1:		Línea 1:
			<languages/>
			<translate>

	==Background==		==Background==

	[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]		[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]
	*The percutaneous gastrostomy tube (PEG) is commonly indicated in:		*The percutaneous gastrostomy tube (PEG) is commonly indicated in:
Línea 8:		Línea 12:
	**mechanical apposition of the stomach to the abdominal wall to prevent hiatal herniation.		**mechanical apposition of the stomach to the abdominal wall to prevent hiatal herniation.
	*Most PEGs are 18F to 28F and may be used for 12-24mo		*Most PEGs are 18F to 28F and may be used for 12-24mo


	==Clinical Features==		==Clinical Features==

	[[File:PMC4979342 AMS-6-44-g005.png\|thumb\|Child with percutaneous gastrostomy tube (G-tube)]]		[[File:PMC4979342 AMS-6-44-g005.png\|thumb\|Child with percutaneous gastrostomy tube (G-tube)]]
	*G-tube can be clogged with medications or feeding solution		*G-tube can be clogged with medications or feeding solution
	*Inability to pass feeds or aspirate from g-tube		*Inability to pass feeds or aspirate from g-tube


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{DDX G-tube}}		{{DDX G-tube}}
			<translate>


	==Evaluation==		==Evaluation==

	*Clinical diagnosis		*Clinical diagnosis
	*Attempts should not be made to clear tube if uncertain position/integrity of tube		*Attempts should not be made to clear tube if uncertain position/integrity of tube


	==Management==		==Management==


	===Mechanical Interventions===		===Mechanical Interventions===

	*Attempt to milk back cheesy precipitants, if the tube is pliant		*Attempt to milk back cheesy precipitants, if the tube is pliant
	*Gentle back-and-forth flushing with saline: be patient, continue pumping back and forth (even if you feel no forward flow or change) for a few minutes		*Gentle back-and-forth flushing with saline: be patient, continue pumping back and forth (even if you feel no forward flow or change) for a few minutes
Línea 36:		Línea 52:
	**The smaller the syringe used, the greater the force that can be applied (pascal's principle)		**The smaller the syringe used, the greater the force that can be applied (pascal's principle)
	**Catheters are prone to aneurysm and rupture (especially Broviaks) therefore, always confirm tube integrity with contrast radiography if this method is used		**Catheters are prone to aneurysm and rupture (especially Broviaks) therefore, always confirm tube integrity with contrast radiography if this method is used


	===Pharmacologic Interventions===		===Pharmacologic Interventions===

	*Coca-cola has not been shown to be superior to water and may result in precipitants and further blockage		*Coca-cola has not been shown to be superior to water and may result in precipitants and further blockage
	*Meat tenderizer and cranberry juice no better than warm water		*Meat tenderizer and cranberry juice no better than warm water
Línea 45:		Línea 63:
	**Crush 1 non-enteric sodium bicarbonate 324mg tab to fine powder		**Crush 1 non-enteric sodium bicarbonate 324mg tab to fine powder
	**Dissolve powder mix in 5 cc warm water to achieve activated pancrelipase ~pH 8 sln		**Dissolve powder mix in 5 cc warm water to achieve activated pancrelipase ~pH 8 sln


	===Complications===		===Complications===

	*Catheter perforation, aneurysm, or displacement		*Catheter perforation, aneurysm, or displacement
	*Internal catheter leak		*Internal catheter leak
	*Stomach perforation		*Stomach perforation


	===Imaging===		===Imaging===

	*Ensure patency and placement with KUB with 20-30ml of water soluble contrast (ie gastrografin) post flushing		*Ensure patency and placement with KUB with 20-30ml of water soluble contrast (ie gastrografin) post flushing


	==External Links==		==External Links==


	==See Also==		==See Also==
	*[[G-tube complications]]
			*[[Special:MyLanguage/G-tube complications\|G-tube complications]]


	==References==		==References==

	<references/>		<references/>

Línea 66:		Línea 93:
	[[Category:Symptoms]]		[[Category:Symptoms]]
	[[Category:Surgery]]		[[Category:Surgery]]
			</translate>

Rossdonaldson1: /* Video */

2024-04-17T20:14:05Z

Video

← Revisión anterior		Revisión del 20:14 17 abr 2024
Línea 58:		Línea 58:
	==See Also==		==See Also==
	*[[G-tube complications]]		*[[G-tube complications]]

	~~==Video==~~
	~~{{#widget:YouTube\|id=RCT2b4VzbAo}}~~

	==References==		==References==

Rossdonaldson1: /* Background */

2024-02-28T23:43:12Z

Background

← Revisión anterior		Revisión del 23:43 28 feb 2024
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Gastric Feeding Tube Adult.png\|thumb\|Illustration depicting a gastric feeding tube appropriately placed in the stomach.]]
	*The percutaneous gastrostomy tube (PEG) is commonly indicated in:		*The percutaneous gastrostomy tube (PEG) is commonly indicated in:
	**patients with impaired ability to tolerate PO for caloric supplementation, hydration, frequent enteral medication dosing		**patients with impaired ability to tolerate PO for caloric supplementation, hydration, frequent enteral medication dosing