These are one-piece tubes held in place either by a retention balloon or by a bumper. They are often used as the initial G-tube for the first 8-12 weeks post-surgery. PEG specifically describes a long G-tube placed by endoscopy, and stands for percutaneous endoscopic gastrostomy. Sometimes the term PEG is used to describe all G-tubes.
GJ-tubes are placed in the stomach just like G-tubes, but a thin, long tube is threaded into the jejunal (J) portion of the small intestine. The vast majority of children who get GJ feeding tubes begin with G-tubes; it is rare for a GJ-tube to be placed initially.
First described in 1837, surgical gastrostomy was the mainstay of direct enteral feeding access for decades. Although laparoscopic techniques for gastrostomy and jejunostomy tube access have evolved since then, their use is limited because of the acceptance of less invasive endoscopic and radiologic alternatives.
The choice between nasogastric (NG), nasoduodenal (ND), and nasojejunal (NJ) tubes depends on whether your child can tolerate feeding into the stomach or not. NG-tubes NG-tubes enter the body through the nose and run down the esophagus into the stomach.
Nasogastric and nasoenteric tubes are flexible double or single lumen tubes that are passed proximally from the nose distally into the stomach or small bowel. Enteric tubes that will be removed within a short period of time can also be passed through the mouth (orogastric). This topic will review the indications, contraindications, placement, management, and complications of nasogastric and nasoenteric tubes.