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PEG tube, caring for your child's G-tube | Children's Wisconsin

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today I will be talking about how to

clean a site for peg type of G tubes

this type of tube is placed with a tool

that goes down the throat called an

endoscope known as a peg method the site

is the skin around where the tube is

placed I will tell you how to take care

of the tube and the site first I would

like to go over what to expect when the

tube is placed the site will be tender

for up to two weeks the first couple

days after the tube is put in are when

it is most tender expect drainage at the

site especially some bloody drainage for

the first few days after the tube is put

in this is normal while the track does

healing the tract is the hole where the

tube is placed gauze at the site is best

when there is drainage to help soak it

up this will stop the drainage from

drying up on the skin which may irritate

the skin one split gauze is all that

should be needed if drainage once the

drainage stops then it is best to leave

the site open to air safe care should be

done every day start this the day after

surgery after one week it is okay for

your child to take a bath however nose

swimming for one month your doctor or

nurse will let you know when to give

your child's feedings and how much to

give please watch our feeding through a

g-tube video on how to do this

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now I will show you how to take care of

a pen type of tube there are several

types of PEG tubes here are what some of

them look like coir pack pants key and

Mick packet it has a bumper on the

inside against the stomach to stop the

tube from falling out the tube also has

an external fixation device on the

outside such as a disc a bar or elbow

adapter the inside bumper and external

fixation device work together to keep

the tube in place your child will have

this tube for at least three months

unless your child's doctor tells you

different to do site cares you will need

soap and water wash cloth or q-tips tape

split cause if needed before you start

the cares wash your hands with soap and

water the site should be cleaned every

day with soap and water you can use

q-tips a washcloth or gauze to clean the

site first clean with soapy water then

rinse the site with water dry the site

very well if a site is left wet this can

create moisture which can lead to

problems you can clean the site just as

I showed you or you can clean the site

while your child is in the bathtub or

shower it is also important to spin the

tube in the tract each day with site

cares this stops the skin from sticking

to the to begin doing this the day after

surgery if your child has drainage one

piece of split oz should be used at the

site to help absorb drainage this also

stops the drainage from irritating the

skin change the gauze every day with

tears are more often if needed if there

is no drainage then it is best to leave

the site open to air the other important

thing to help keep the tract healthy is

to stabilize or secure the tube one

important way to stabilize the tube is

placing a tension loop the tension loop

will help protect the site if the tube

is accidentally pulled I take a piece of

tape and fold it around the tube until

the tape meets pinch the tape together

where it meets put the ends of the tape

onto the skin

change the tension loop site to a new

spot on your child's skin every one to

three days this keeps the tube from

leaning the same way each time which

could make the hole larger other ways to

stabilize the tube are to protect the

site from being pulled on or bumped some

simple ways are to put a one-piece

clothing that has snaps such as a onesie

you could use elastic wrap around the

tummy and back such as a haze wrap a

belly binder or large hairband and tuck

in their clothing your child's tract

will be healed after their tube has been

placed for 12 weeks the tube will be

changed to a button type of tube this is

called the primary tube change this

usually takes place in surgery clinic

and they will let you know the date time

and what to do before you come to this

appointment after the tube is changed

for the first time the nurses will teach

you how to change it your child may need

to have an x-ray type of test after the

tube has changed to make sure the tube

is in the right spot this is where a

little bit of dye is placed in your

child's tube and an x-ray will be able

to see if the tube is in the stomach

after the first tube change you will get

a spare button type of tube sent to your

home the most important key things to

remember helping the site heal are a

clean site a dry site and a stable site

if there are any problems with the tube

or the site that you are not able to

take care of call your child's doctor or

nurse most common problems that can be

taken care of at home our redness that

is not spreading other common problems

that happen when you may need to call

our redness that does not go away or

that starts to spread leaking or

increased drainage granulation tissue if

the tube is too tight or too loose if

there is a lot of play with the tube or

if the external fixation device is too

tight call your child's doctor or nurse

the skin may have red marks or the skin

may be indented from the tube if it is

too tight the tube is too loose if it is

able to move in and out of the track

more than a fingers thickness or if

there is leaking or formula from this

if the g-tube falls out before your

child has had their very first tube

change do not put anything in the tract

cover the g-tube hole and call your

child's doctor or nurse right away if

the tube falls out on the weekend or off

hours take your child to the emergency

room thank you for watching

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