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Image Guided Therapy
Image Guided Therapy

G-Tube Program

The G-Tube Program provides care and support to children who are less than 18 years old that require or already have a Gastrostomy (G) or GastroJejunostomy (GJ) Tube. The G-Tube team consists of a nurse practitioner, and two G-tube resource nurses who work closely with a paediatrician and the interventional radiologists in the IGT department. For more information, click here

Indications for a G/GJ-Tube

Enteral tube feeding is initiated when a patient is unable to meet nutrient or fluid needs orally. Conditions that often require G/GJ-Tube feeding support include:

  • Anorexia associated with acute or chronic illness
  • Oral-motor dysfunction/Feeding in coordination/Swallowing disorders/Dysphagia
  • Poor ‘Suck/Swallow/Breathe’ coordination
  • Oral/Neck mass
  • Inefficient feeding/Prolonged feeding time
  • Hypermetabolism/Increased caloric needs
  • Renal Disease/Increased fluid needs
  • Severe GERD that cannot be controlled medically
  • Risk of aspiration with oral feeds
  • Oral aversion
  • Failure to thrive
  • Inadequate oral intake
  • Malabsorption/Pancreatic Insufficiency  
  • Long term management of Cystic Fibrosis
  • Treatment of Inflammatory Bowel Disease
  • Need for Ketogenic diet for refractory seizures
  • TracheoEsophageal Fistula/Esophageal atresia
  • Disease Process (i.e. renal, liver failure, cancer etc.)

Is my Patient a Candidate for an G/GJ-Tube?

Before you refer your patient, it is important to determine whether a nasoenteric tube or an enterostomy tube would best suit your patient. Here is an algorithm that will assist you in determining if an enterostomy tube is suitable, as well as whether a G-Tube or a GJ-Tube is more appropriate for your patient’s needs.

Referral and Contact Information

If your patient requires an G/GJ-Tube, click here for referral information. For any questions or concerns, please feel free to contact the nurse practitioner.