G, GJ, J Tube Complications Clinical Pathway — Inpatient
G, GJ, J Tube Complications Clinical Pathway — Inpatient
Enlarged stoma/keyhole
Tensed Securement
Appropriate Securement
(no tension)
An enlarged stoma that 'keyholes' occurs when the tube pulls or tugs along the stoma, slowly widening the stoma over time. This is the result of pull on the stoma from tension on the tube from:
- Extension sets
- Tubes taped repeatedly in the same position
- Improper grip lock application
- Tensed securement
The goal is to relieve the tension to begin to heal the stoma and prevent further enlargement.
Potential Source | Recommended Approach | Comments |
---|---|---|
Tension on the tube |
|
|
Moderate Enlargement

Severe Enlargement


