MIC Gastric-Jejunal Feeding Tube is designed to support both gastric decompression/drainage and enteral feeding directly into the distal duodenum or proximal jejunum. It is suitable for patients who are unable to tolerate or absorb sufficient nutrition through the stomach, experience impaired intestinal motility, gastric outlet obstruction, or severe gastroesophageal reflux. It is also beneficial for those who are at risk of aspiration or have undergone esophagectomy or gastrectomy.

Features

• Integrated port for effective gastric decompression.
• Universal connector for jejunal feeding port compatibility.
• Constructed from durable, medical-grade silicone material.
• Internal retention balloon made of silicone for secure placement.
• SECUR-LOK external retention ring helps prevent tube migration and stabilizes positioning.
• Multiple exit ports in both gastric and jejunal sections improve flow and minimize clogging risk.

Indications For Use

MIC Gastric-Jejunal feeding tube is recommended for patients who struggle with stomach absorption, have intestinal motility issues, gastric outlet obstruction, severe gastroesophageal reflux, are at risk of aspiration, or have had a previous esophagectomy.

Contraindications

Contraindications for placement of a Gastric-Jejunal feeding tube include, but are not limited to, ascites, colonic interposition, portal hypertension, peritonitis, and morbid obesity.

MIC Transgastric-Jejunal Feeding Tube Kit Contents:

• 1 – Secur-Lok Ring
• 1 – Coated Guidewire
• 1 – Instructions for Use
• 1 – Water Soluble Lubricant
• 1 – Patient Care Guidelines
• 1 – 35 ml Catheter Tip Syringe
• 1 – Gastric-Jejunal Feeding Tube
• 1 – Luer Slip Syringe – Prefilled with/ 10 ml Water

Complications (GJ Tube)

• Infection, Perforation, Intussusception, Skin breakdown, Pressure necrosis, Hypergranulation, Intraperitoneal leakage, Stomach/duodenal ulcers

Placement

Placed under fluoro/endoscopy or as a replacement via mature tract. Gastropexy is required for initial placement. The jejunal tip must sit 10–15 cm past the Ligament of Treitz.

Caution

• Never use a balloon as a gastropexy device (it can burst).
• Higher perforation risk in patients <10 kg.

Tube Basics

• JEJUNAL port = feeding only (universal connector)
• GASTRIC port = drainage/suction
• BAL port = balloon only (water only)

Warning

• Never connect the jejunal port to suction or check residuals.

Jejunal Feeding Steps (Short)

• Wash hands
• Check tube markings haven’t changed
• Flush the jejunal port with 30 ml of water
• Prime the feeding bag, connect to the JEJUNAL port, start the pump
• Flush BOTH ports every 6 hours with ≥30 ml water (no force)
• If a formula appears in gastric drainage → stop feeding, call the clinician

Gastric Decompression

Connect the gastric port to gravity or low intermittent suction only. Never high/continuous suction. Flush every 6 hours with ≥30 ml of water.

DO’S

• DO use a feeding pump for jejunal feeds
• DO flush both ports every 6 hrs (≥30 ml water)
• DO keep the SECUR-LOK ring 3 mm from the skin
• DO discard opened formula after 24 hrs
• DO use only the prescribed commercial formula

DON’TS

• DON’T bolus or gravity feed into the jejunal port
• DON’T suction the jejunal port or check residuals
• DON’T put air, food, or meds in a balloon
• DON’T push the ring tight against the skin
• DON’T rotate or tape the tube
• DON’T try to clear clogs with a wire (risk of puncture)
• DON’T use oil-based products

Note

• Single-use device - check the package is not damaged before use.