Clinical Pathway for Management of Gastrostomy Tube Complications

Identify the type and maturity of G/GJ/J tube in LDA
Basics of tube/stoma care:
Erythema around Stoma
Granulation Tissue
Irritant Dermatitis
Enlarged stoma/keyhole

Notify the Appropriate Service
Information about the inserting/managing service is located in the LDA in Epic. See a sample LDA.
To notify the appropriate service, see contact information below and Sample ISBARQ.

Initial G tubes/J tubes placed by General Surgery
  • Call General Surgery for problems with these tubes:
    • Weekdays between 9 a.m. – 4:30 p.m.: PHL Gen Surg Gtube in Epic On-Call Finder
      • If NP in General Surgery is not available: Gen Surg Cnslt ED/IP in On-Call Finder
    • For the N/IICU: call the Surgical NP in the N/IICU, call #20132
Replacement G tubes/J tubes initially placed by General Surgery
Initial G tubes placed by IR and
all GJ tubes
  • Call IR for problems with these tubes
    • Weekdays 8 a.m. – 4 p.m.: call #53255
    • Weekdays 4 p.m. – 6 p.m.: call #57080
    • Weeknights between 6 p.m. – 8 a.m., Weekends, Holidays: Rad/IR in On-Call Finder
Replacement G tubes that were initially placed by IR
  • Call GI & Nutrition for problems with these tubes:
    • PHL GI Gtube Nurse in Epic On-Call Finder
All Tubes at KOPH Call KOPH Gen Surg Cnslt 1st Contact via Epic Chat


Reviewed by Children's Hospital of Philadelphia Clinical Care Committee: May 2019
Posted: May 2019
Revised: July 2023
Editors: Clinical Pathways Team