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  • Gastrostomy tubes designed for simultaneous decompression of the stomach and the proximal duodenum and feeding at the distal duodenum; the tubes may be placed using open surgery or a percutaneous endoscopic procedure. These devices typically consist of a triple-lumen tube, x-ray tip, and a gastric balloon. The tip is manipulated through the pylorus and into the distal duodenum; then the gastric balloon is inflated with sterile water and secured in position by a retainer resting against the skin. The suction lumen provides aspiration through holes at the proximal duodenum, while the feeding lumen delivers enteral food several centimeters (a few inches) into the distal duodenum. Duodenal decompression/feeding gastrostomy tubes are used in patients who need continuous decompression of the stomach (e.g., after surgery, recurrent malignancies) and/or enteral feeding.
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