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    Calling all HuffPost superfans! Your child will be seen for an appointment with general surgery about four to six weeks after being discharged from the hospital.

    In many instances, the G-tube will be changed at this appointment. Additional follow-ups will be scheduled, if needed. A PEG tube is another type of G-tube.

    A radiologist usually performs this type of tube placement in the Interventional Radiology while your child is asleep. Find more information on this type of tube.

    Although G-tubes are generally easy to use without much maintenance, there are some potential problems your child may experience.

    We can discuss whether your child should be seen in our clinic or if they require immediate, emergency medical attention.

    Most tubes are secured by a balloon inside the abdomen or by stitches, but they can still become dislodged or removed from the stomach. Leaking around a G-tube is common.

    Then, they will lubricate the tip with sterile water or water based lubricating gel. Occasionally doctors will insert the tube, but it is generally a procedure done by the bedside nurse.

    After it is placed, your nurse will check the tube for correct placement by inserting a small amount of air into the tube and listening for the contents to enter the stomach.

    This indicates the tube has been placed correctly. This will ensure that the tube passed into the stomach and not the lungs.

    When the tube is inserted, it is taped to the nose or mouth so it stays in place. There are also devices that secure the tube internally by using cloth tape that passes behind the nasal bone.

    After the tube is firmly in place, the infant is given formula, breast milk, or medicine by injection with a syringe or through an infusion pump.

    You can hold your baby while the liquid moves slowly through the feeding tube. After the feeding is complete, your doctor will either cap off the tube or remove it.

    You should make sure your infant remains upright or inclined to prevent the feeding from being regurgitated. There are very few risks associated with feeding tube use.

    You will most likely still need to vent the G portion of the GJ-tube. In the beginning, you may need to vent every 3 to 4 hours.

    One of the challenges of a GJ-tube is that the J tubing holds the pylorus entry to the intestines partially open, and that may allow bile from the small intestine to seep into the stomach.

    If bile reflux occurs, the stomach can be vented to prevent the bile from being vomited or refluxed. In rare cases, the stomach needs to be continuously drained.

    What is drained out can be replaced with a hydration solution as directed by your physician, or re-fed into the intestines via the J-port.

    KEEP THE GJ-TUBE FROM SPINNING. Unlike a G-tube, the GJ-tube should not be rotated. Rotating a GJ-tube can result in the tubing becoming kinked or dislodged from the intestines.

    KEEP A SPARE TUBE AT HOME. Because a GJ tube cannot be replaced at home, it is critical to keep a spare G-tube button or Foley catheter on hand in case the tube ever comes out.

    The stoma will need to be kept open until the GJ-tube can be replaced. GJ-TUBES NEED TO BE FLUSHED. GJ-tubes need to be flushed more often than G-tubes.

    The J-port is particularly likely to clog because of the longer length and smaller diameter of the tube. The J-port should be flushed every hours, especially after medications have been given, and after feeds have ended.

    Water should be flushed slowly into the J-port each time. It is usually OK for parents not to wake in the middle of the night to flush the J if feeds are running continuously.

    It is very important never to bolus feed the J-port of a GJ-tube. Most medications can be given in either the G- or J-port, though there are a few that must be given through the G-port.

    Some medications can only be absorbed in the stomach and must be given through the G-port. THERE MAY BE CHANGES IN STOOL WITH J FEEDS. Be aware that there may be drastic changes in stools for the first few days.

    If you see formula when venting the stomach or if your child vomits formula, you should contact your doctor immediately. PORTS MAY WEAR OUT.

    A common issue with button-style GJ-tubes is that the backflow valves wear out quickly. ORAL FEEDING MAY STILL BE POSSIBLE.

    You CAN still do oral feeds with a GJ-tube, as long as the child is safe with swallowing and as long as the orally consumed food is still able to pass through the stomach well enough to not cause problems.

    Venting and Draining the G-Port. Farrell bags allow for venting the stomach while feeding.

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