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Gastrostomy tube check
Patient preparation: none
Contrast used: low osmolar water soluble if checking to see if newly placed / replaced gastric tube is in the stomach, barium for other indications, dilute contrast using 1 part contrast : 2 parts sodium chloride if 1 year old
Technique: — Scout image — Place the patient in a right lateral position — Slowly inject the contrast through the gastrostomy tube
Images to obtain: lateral image of the gastrostomy tube tract and the gastrostomy tube in the stomach, AP image of the tube in the stomach
Looking for: gastrostomy tube tip not in stomach, gastrostomy tube balloon causing gastric outlet obstruction, gastroesophageal reflux
Post procedure tasks: flush gastrostomy tube with sterile saline