In this section
To unblock the gastrostomy tube, flush it with 10 - 20 ml of a
carbonated drink such as mineral water or diet cola.
Sometimes the blockage can be aspirated out using a syringe.
Related to the relative sizes of the tube and stomal
tract. If the tube is too small for the opening, it may need
replacement with a larger tube.
Other possible causes include:
Gastric secretions leaking around the gastrostomy can result in
skin excoriation. There are two methods of minimising irritation to
Red, irritated, swollen, oozing skin surrounding a gastrostomy
can be treated with:
Granulation tissue usually occurs about 6 weeks post
surgery. It may be caused by the tube moving too
freely. If this is the case an anchor device eg FlexiTrak can
Options to treat granulation tissue:
Candida; under the
skin flange, use topical antifungal preparations eg clotrimazole or
Cellulitis (see photo); is normally due to
staphylococcal infection (but can involve enteric flora) and
appropriate antibiotics should be given eg oral or intravenous
flucloxacillin. If the site is very swollen, the tube may
have to be removed to relieve pain. If there is discharge
from the site, a skin/wound swab should be sent for microscopy and
culture prior to commencing treatment.