Re: Help any one

[Guest guest]

Opening to drain stomach

Opening for feeding port

Body Wall

(over)

PEJ Tube

Percutaneous Endoscopic Jejunostomy Tube

A PEJ tube is a feeding tube that is put inside an outer tube which goes to the

stomach.

The inside tube goes into the small intestine (jejunum). A special instrument,

called an

endoscope, is used to insert the tube. The endoscope has a light on it that

helps the

doctor put the feeding tube through the mouth into the small intestine

(jejunum). The

tube that is for feeding is small, therefore, not all formulas will go down the

tube.

A PEJ Tube Is Used To:

C Give liquids or medicines into the small intestine. This helps prevent your

feeding

from backing up.

C Remove fluids and gas from the stomach

Name (Type) of Tube _______________________ Size_______________________

General Information:

C Your PEJ tube has a disc or

dome on the inside of your

stomach for support. A disc or

crossbar is against your skin on

the outside.

C These support discs keep the

tube from moving. The outside

disc should stay close to the skin

(¼ " ) and should not move freely

back and forth.

C Your PEJ tube has two openings.

One is for feeding and the other

is to drain stomach contents.

C Your tube may look different than

this picture depending on the

company that makes the tube.

C Your tube should be marked with a permanent marker where it leaves the body.

This is so you can check its position. If you have stitches holding the tube,

they are

removed in 5 - 7 days.

Page 2

Caring for Your Tube:

C Wash your hands with soap and water.

C Gently lift the sides of the disc and check the skin under it

everyday. Call your health care professional if there are any of the

following signs of infection:

< Unusual redness

< Tenderness

< Warmth

< Unusual draining

@ Thick

@ Foul smelling

@ Yellow-green color

If the disc or crossbar leaves a mark or dent on your skin, call your health

professional. The disc or crossbar may need to be moved.

3. Check to see if the mark on your tube is at the same point next to your skin

as when

it was placed. Call your health professional if your tube is not at the same

distance.

4. Clean your skin under the disc around the tube

everyday with a Q-tip dipped in hydrogen peroxide.

5. Apply ____________ ointment around the tube if it is

ordered.

7. If skin irritation is present, dry the area with a hair dryer

set on a cool setting for a few minutes. Remove the

cause of the irritation. Protect the skin with waterproof

ointment, such as Desitin ® or zinc oxide.

8. A gauze dressing around the tube is not necessary unless there is drainage.

If

there is drainage, read the Gauze Dressing Method handout. Your nurse will show

you how to do this dressing.

9. Gently make a loop with the tube and tape it securely to your abdomen. This

helps

prevent the tube from being pulled out by accident.

© Copyright, (99) N

Department of Nursing

The Ohio State University Medical Center

< Upon request all patient education handouts are available in other formats for

people with hearing,

vision and language problems, call . For more information, please

call .

I hope this finds you and yours well

Mark E. Armstrong

casca@...

www.top5plus5.com

PAI NW Rep

ICQ #59196115

Help any one

I am getting ready for a jejunostomy tube otherwise known as the J-

Tube because of the Pancreatic problems. Any one know about this

and can help me know what to expect!

Thanks

Leanne

[Guest guest]

If you would like more written information, please call the Center for Health

Information at

(614)293-3707.

I hope this finds you and yours well

Mark E. Armstrong

casca@...

www.top5plus5.com

PAI NW Rep

ICQ #59196115

Help any one

I am getting ready for a jejunostomy tube otherwise known as the J-

Tube because of the Pancreatic problems. Any one know about this

and can help me know what to expect!

Thanks

Leanne

[Guest guest]

I believe this to be a relatively simple proceedure, and as far

as feeding goes it shouldn't be too difficult. There are two ways to

complete tube feeding either bolus or or a pump, by bolus it is just

poured in (like pouring pop in a glass) with a pump a small amount

goes in over time, just like an IV. If you have had alot of ERCP's

or other invasive pancreatic testing done, this will probably be

much easier. Hope that helps.

Atwell LPN

[Guest guest]

Hi Leanne; I had a g-j-tube for about 3 months. They put it in via

an endoscope; like having an upper gi being done. I wasn't

expecting it to hurt as much as it did but the area was very sore

for a few weeks, then I never felt it again. Its kind of oozing so

make sure you get plenty of drain sponges from the nurses. The

regualr guaze sponges are too stringy. You may want to pick up a

tube of bacitracin to keep the area clean. but do make sure you

have pain meds for after they place it. I was suprised how much it

hurt. If you have any more q's please feel free to pm me. They

took out the tube during the last surgery, now I have 2 belly

buttons, with the original mostly sutured shut... I have bely button

identity crisis now....lol

Thanks for the card too Leanne, it was very thoughtful of you. I

had gone to town yesterday with all intentions of shopping after my

docs appt but I ended up spending the entire day at the hospital

haveing test. so next time I'm out I have to get some cards and

notes for all of ya'll.

Warmly,

> I am getting ready for a jejunostomy tube otherwise known as the J-

> Tube because of the Pancreatic problems. Any one know about this

> and can help me know what to expect!

>

> Thanks

> Leanne