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  • Gastrostomy tubes designed for surgical insertion of the distal tip into the stomach for direct enteral feeding. These tubes may be placed surgically (e.g., open surgery, laparotomy) or by using a percutaneous endoscopic procedure; they are usually secured by a soft balloon or bumper on the inside and a firm plastic device on the outside. Gastrostomy feeding tubes are mostly used for feeding patients who require medium- or long-term enteral feeding but who are unable to maintain sufficient oral intake (e.g., patients who have severe neurologic impairment; those with tumors of the mouth, larynx, or esophagus; and infants who require enteral nutrition). Gastrostomy tubes may be used to administer medications; dedicated tubes for insertion using open surgery or endoscopic procedures are available. Gastrostomy tubes with tips that can be advanced into the jejunum for jejunal feeding are also available.
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