Surgery

Question 1

Contraindications of a feeding tube?

Answer 1

• Hemodynamic instability
• Sepsis
• Severe ascites
• Peritonitis
• Abdominal wall infection at the selected site of placement
• Marked peritoneal carcinomatosis
• Interposed organs
• History of total gastrectomy
• Gastric outlet obstruction (if being used for feeding recommend GJ tube)
• Severe gastroparesis (if being used for feeding recommend GJ tube)
• Peritoneal dialysis

Question 2

Complications of gastrostomy tubes?

Answer 2

• Wound infection - Blockage of tube - Peritonitis
• Necrotizing fasciitis - Gastric outlet obstruction
• Hemorrhage
• Stoma leakage - Aspiration pneumonia
• Accidental PEG removal
• Metastatic seeding
• Pneumoperitoneum - Buried bumper syndrome