Pezzer tube (3007)

Key points below

What is a Pezzer tube?

A Pezzer tube is a long type of feeding tube.  It is held in place in the stomach by a small mushroom shaped piece. Pezzar

There may be stitches on the outside for up to a week.

If your child is sent home with the stitches, they can be removed at your child’s doctor’s office, clinic, or by a home nurse.
This tube needs to stay in place 6 weeks before it is changed to another type of tube.  This is needed for the tract to heal.  After this time, the tube can be changed to another type of tube.

Why does my child have this type of tube?

You and your child’s doctor decided this kind of feeding tube would be the best for your child at this time.

Your child’s tube size is _____________.

How do I care for the tube?

See the Caring for a Child with a Feeding Tube Notebook or go to  

Information and videos on website:

Bolster dressings

A bolster dressing helps:

Change the bolster:

When changing the bolster, it is best to move it to a different spot on the belly.  This helps keep the tube from leaning on one side and making the opening larger.  This also protects the skin around the tube.

It may be easiest to plan the bolster change during your child’s bath time.  The site should still be cleaned every day.  Cleaning the site can be done without taking off the bolster.  

The tube should exit the skin and lay over the bolster dressing.  The tube should stay straight up from the tract so it does not lean.

Steps to make the bolster and secure tube

1. Get supplies ready. 

2. Wash your hands with soap and water.
3. Make bolster.  You can make several of them up ahead to save time.  Put them in a plastic baggie.

4. Take off the old bolster dressing.
5. Clean the skin site if needed. 
6. Gently spin the tube in the tract.  This helps the stop the tube from sticking to the skin.
7. Gently pull back on the tube until the mushroom or water balloon is snug against the stomach wall.
8. Put the bolster on the skin next to the tube.  Do not put bolster in the same spot on the belly.
9. While holding the tube straight up, lay the tube over the bolster and begin to secure.

10. Put one extra strip about 1 to 2 inches away from the bolster.  This is called a tension loop.

What problems might I have with the Pezzer tube?

Problem: Leaking of formula or stomach juices at the site where tube is in the skin



Problem: Tube falls out

Causes: Tube got pulled on or caught on something

Solution: Do not replace the tube. Cover the opening with gauze or a cloth. Bring your child to the Emergency Room.


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

  • the tube is the first tube and it has fallen out.
  • the tube site is closing up.
  • your child has feeding problems such as vomiting or gagging.
  • you are not able to spin the tube in the tract.