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Image Guided Therapy
Image Guided Therapy

Types of Tubes inserted in IGT

Types of G-Tubes

Cook Mac-Loc G-Tube:

This tube is also called a pigtail type tube because the curly pigtail on the end helps keep the tube in the stomach. This tube is changed in IGT as needed (e.g. if the tube breaks, is accidentally pulled out, is blocked or needs to be upsized). There is no cost to you for this tube.

Corpak Corflo Max Peg G-Tube:

This type of tube is inserted in the IGT department, under a general anaesthetic. All tube changes, including when you want to switch to a low profile balloon G-Tube, are usually done under a general anaesthetic.  There is no cost to you for this tube.

Low Profile Balloon G-Tube  (also called the Mickey Button): 

Most patients may eventually transition to a Low Profile Balloon G-Tube. Some examples are the Halyard Mic-Key G Tube ™ (also called the Mic-Key Button), Nutriport, and AMT mini one.  Changing to the Low Profile Balloon G-Tube does not require a general anaesthetic and it is not typically done in the IGT department. Instead, it is inserted by the G-Tube resource nurse in clinic, a minimum of 8 weeks after the primary insertion. In order to transition to the Low Profile Balloon G-Tube, your child’s G-Tube must be at least a #12 French size.  If it is smaller than a #12 French, the tube must be upsized in the IGT department. There is a cost to you for the Low Profile Balloon G-Tube. Subsequent changes of this tube can be done by you at home. 

Types of GJ-Tubes:

Cook Paediatric GJ-Tube:

This tube is changed in IGT as needed (e.g. if the tube breaks, is accidentally pulled out, is blocked, needs to be upsized, moves inside), often about every three to six months. If a patient presents with increased GERD symptoms, acute abdominal pain, is vomiting bile, or has a leakage of formula from the stoma, the GJ-Tube may need to be checked and/or changed in the IGT department. There is no cost to you for this tube.

Low Profile GJ-Tube:

These tubes are similar to the Low Profile G-Tube in their appearance but feed into the jejunum (section of the small intestines). Some of these tubes feed only into the jejunum and some of them feed into the jejunum but also have a port that allows you to vent gas/air from the stomach. These are often called “combo G/GJ-Tubes”.  They are inserted and change in IGT and there is a cost to you for these tubes.