Abstract

Accidental gastrostomy dislodgement is a common and well-described, but poorly quantified complication, which often necessitates an additional, invasive intervention.1 In the incidence of simple tube displacement the stoma can begin to close very quickly2. Community enteral feeding support in Bristol is provided by a Home Enteral Tube Feeding Team working in partnership with a commercial company. Previous policy stated if patients and carers are not trained to replace their tube themselves they should insert nothing into the stoma and call their HCP or nurse. The community nurses do not reinsert tubes if the stoma tract has been empty for over two hours. The delay in reaching hospital and attending Emergency Department can result in the loss of enteral access.

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