Gastrostomy tube Gtube or J tube removal (1920)

Key points below


for Gastrostomy tubes and Jejunostomy tubes

 Why does the tube need to be removed?

Your child’s doctor has decided that the tube is no longer needed.

How is the tube removed?

The tube will be removed.  A pressure dressing will be put over the tube site.  This is the opening in the belly where the tube was.

What is a pressure dressing?

This is a tight and clean bandage that covers the tube site.  It soaks up drainage from the site and helps it to heal.  Most sites close in a few days.  Sometimes it may take a few weeks.  If the site does not close on its own, your child may need surgery.  Your child’s doctor will talk to you about surgery if the site does not close on its own.

When should the pressure dressing be changed?

The best time to change the dressing is before a meal when the stomach is empty.  The pressure dressing needs to be changed:

How do I change the dressing?

1. Get your supplies.
Two pieces of 3 x 3 gauze.
Silk or foam tape

2. Wash your hands with soap and water.

3. Clean the site with soap and water.  It is okay for your child to take a bath or shower.

4. Air dry or gently pat the site with a towel to dry.

5. Fold first piece of gauze.
Fold in half.
Fold in half again.  This is now a square shape.

6. Put the first folded piece of gauze over the site.

7. Fold the second piece of gauze.
Fold in half.  This is now a rectangle shape.

8. Put the second piece of folded gauze on top of the first gauze.

9. Put the tape firmly over the gauze onto the skin.  Make sure all the edges of the dressing are covered.

Special Information

To help control drainage from the site after the tube is removed:

To help keep skin around the site healthy:

Follow up after the tube was removed

Make an appointment in Surgery Clinic for 2 to 3 weeks from now.  This is to talk with the surgeon to decide if surgery is needed.  It may be needed if the site is not closing or if it is draining.  If your child’s site closes before this appointment, you can cancel.

Central Scheduling: 800-607-5280

 

ALERT

Call your child’s doctor, nurse, or clinic if you have any questions or concerns or if:

  • the site is leaking a lot of drainage after one week.
  •  there is very red, painful or peeling skin.
  • your child has special health care needs that were not covered by this information.