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NEVER bolus feed the J-port of a GJ tube-Tuesday Tube Facts

Did you know…?

It is important to NEVER bolus feed the J-port of a GJ tube. The intestine is not able to hold as large of a volume as the stomach can.[1]

It is not uncommon to see continuous feeds of 20 hours a day or more with GJ tubes, especially at the beginning of feeding.[1]

References:

  1. Feeding Tube Awareness Foundation. Gastro-Jejunal (GJ) Tubes, 3 Mar. 2020, www.feedingtubeawareness.org/gj-tubes/.

GJ Tube placement expectations-Tuesday Tube Facts

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After the GJ Tube placement the patient can return to the hospital room where they will rest for 2-4 hours. The G-port will be attached to suction for at least 4 hours.[1]

Feedings through the J-port can be started after the patient rests for a few hours. Abdominal pain at the new site for a few days is normal.[1]

References:

  1. UW Health.Gastrojejunostomy Tube (GJ Tube) | Health and Nutrition Facts for You | Patients & Families, UW Health , Oct. 2020, https://patient.uwhealth.org/healthfacts/7986.

IR GJ Study-Tuesday Tube Facts

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In a 6 month period and at one hospital, 242 GJ feeding tubes were replaced.[1]

Reported clogging rates vary from 9 – 35%.[1-7] With clogging of nasogastric (NG) feeding tubes considered under-reported, the actual rate may be much higher.[3]

References:

  1. Sharafinski, Mark E. Jr.; Sehnert, Elizabeth; Moe, David; Zhang, Liyun; Simpson, Pippa; Vo, Nghia J. Pediatric Gastrojejunostomy Tube Replacement: Effects of Communication on the Need for After-Hours Procedures, Journal of Pediatric Gastroenterology and Nutrition: September 2016 – Volume 63 – Issue 3 – p e27-e30 doi: 10.1097/MPG.0000000000001267

GJ tubes replaced-Tuesday Tube Facts

Did you know…?

During a 6 month period, patients requiring after hours or weekend GJ tube replacements participated in a repeated cross-sectional study. More than 240 GJ feeding tubes were replaced.[1]

References:

  1. Sharafinski, Mark E. Jr.; Sehnert, Elizabeth; Moe, David; Zhang, Liyun; Simpson, Pippa; Vo, Nghia J. Pediatric Gastrojejunostomy Tube Replacement: Effects of Communication on the Need for After-Hours Procedures, Journal of Pediatric Gastroenterology and Nutrition: September 2016 – Volume 63 – Issue 3 – p e27-e30 doi: 10.1097/MPG.0000000000001267