Mercy Hospital & Health Services Contact Us
MyChart
About Mercy
Join Our Team
set font size large set font size medium set font size small
email this page print this page
Health Illustrated Encyclopedia Banner
Health Illustrated Encyclopedia

Disclaimer:
Our Health Information Database is provided by A.D.A.M. the leading provider of electronic and printed information for professionals and consumers in healthcare and industry. It provides authoritative, reliable content written and reviewed by an editorial board who represent a variety of specialty areas. This board reviews and evaluates all healthcare information to ensure it is accurate, reliable, and can be used with complete confidence. And now you have access to the same authoritative, trusted clinical information relied upon by health professionals around the world.
Jejunostomy feeding tube

Alternate Names

Feeding - jejunostomy tube; G-J tube; J-tube; Jejunum tube

What to Expect at Home

Your child’s jejunostomy tube is a special tube in the small intestine that delivers food and medicine. With this help, your child will grow stronger and healthier.

It is important to take good care of the skin around the tube so that your child does not get an infection or skin irritation.

You will also learn how to change the dressing around the tube every day. Try to make this part of your daily routine.

Make sure you keep the tube protected by taping it down under a t-shirt. Do not let your child pull on the tube.

Your doctor may replace the tube every 6 months.

Cleaning the Skin around the J-tube

To clean the skin, you will need to change the bandages once a day or more if the area becomes wet or dirty.

The skin area should always be kept clean and dry. You will need:

  • Warm soapy water and a washcloth
  • Dry, clean towel
  • Plastic bag
  • Ointment or hydrogen peroxide (if your doctor recommends)
  • Q-tips

Follow these guidelines every day for good health and skin care:

  • Wash your hands for a few minutes with soap and water.
  • Remove any dressings or bandages on the skin. Place them in the plastic bag, and throw them away.
  • Check the skin for redness, odor, pain, puss, or swelling. Make sure the stitches are still in place.
  • Apply soap and warm water to a washcloth, or dip the Q-tip in half strength hydrogen peroxide (1 tsp. hydrogen peroxide and 1 tsp. water) or other ointment.
  • Gently wash the skin all around the tube with the washcloth or Q-tip. Try to remove any drainage or crusting on the skin and tube. Be gentle. Dry the skin well with a clean towel.
  • If there is drainage, place a small piece of gauze under the disc around the tube.
  • Do not rotate the tube. This may cause it to become blocked.

Replacing the Dressings around the Tube

You will need:

  • Gauze pads, dressings or bandages
  • Tape

Your nurse will show you how to place the new bandages or gauze around your tube and tape it securely to your abdomen.

Usually, split gauze strips are slipped over the tube and taped down on all four sides. Tape the tube down as well.

Avoid using creams, powders, or sprays near the site. Sometimes a special cream, or ointment, is prescribed by your nurse, but use this cream only if your child’s doctor told you to.

Flushing the J-tube

To flush the J-tube, use the syringe to slowly push warm water into the side opening of the J-port.

You may rinse, dry, and reuse the syringe later.

When to Call the Doctor

Call your child’s doctor or nurse if:

  • The tube is pulled out
  • There is redness, swelling, smell, puss (unusual color) at the tube site
  • There is bleeding around the tube
  • The stitches are coming out
  • There is leaking around the tube
  • Skin or scarring is growing around the tube
  • Your child is vomiting
  • Your child’s stomach is bloated

References



Encyclopedia Home
Drug Note Home
Health Information Home

Images

Care PointsRead More

Review Date: 2/7/2009

Review By: George F Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2010 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

www.adam.com
www.mercyweb.org
follow us online
facebook youtube


Contact us
Home  |  Sitemap

Disclaimer & Terms of Use  |  Privacy Statement  |  Notice of Privacy Practices
Copyright ©2013 Mercy. Last modified 2/16/2011