Gastrostomy and Gastrostomy Tube Feeding Quiz

Purpose of Gastrostomy

• A gastrostomy is primarily used to provide long-term access to the stomach for feeding purposes when oral intake is not possible or sufficient.
• It allows for enteral nutrition in patients with swallowing difficulties, neurological disorders, or head and neck cancers.

Conditions Requiring Gastric Decompression

• Gastric decompression through gastrostomy may be necessary in cases of intestinal obstruction or severe gastrointestinal dysmotility.
• It alleviates pressure and prevents complications such as aspiration or perforation.

Types of Gastrostomy Procedures

• Percutaneous endoscopic gastrostomy (PEG) is a common method that involves inserting a feeding tube through the abdominal wall using an endoscope.
• Surgical gastrostomy involves a more invasive approach, performed through an open abdominal surgery if endoscopic placement is not viable.

Enteral Nutrition

• Enteral nutrition refers to the provision of nutrients directly into the gastrointestinal tract through a feeding tube, such as a gastrostomy tube.
• This method is beneficial for individuals who cannot eat by mouth due to medical conditions, ensuring they receive necessary calories and nutrients.

Contraindications for Gastrostomy Tube Insertion

• A significant contraindication for gastrostomy tube insertion is the presence of significant coagulopathy, which increases the risk of bleeding during the procedure.
• Other contraindications may include severe infections at the insertion site and uncorrected anatomical abnormalities.

Summary on Gastrostomy

• Gastrostomy serves as a critical intervention for nutritional support and gastric decompression in patients unable to meet their dietary needs through conventional means.
• Understanding various procedures, indications, and contraindications is essential for effective clinical application.