Daily care of the G-tube or Monarch® gastrostomy tube

  • Always wash and dry hands thoroughly before handling the gastrostomy tube.
  • It is important that the stoma site is cleaned and dried at least once a day, as advised by a healthcare professional. This includes taking a bath or shower daily. If your child has had a gastrostomy tube inserted as their first gastrostomy tube, they should only have showers for the first 2 weeks following insertion. This is to allow the tract to form.
  • Rotate the gastrostomy tube 360 degrees daily. This helps prevent the gastrostomy tube from sticking to the surrounding skin.
  • Inspect the stoma for signs of redness, swelling, irritation, skin breakdown and leakage.
  • Gently pull the gastrostomy tube upwards until you feel resistance. This will check the balloon is inflated for G-tubes. Ensure the external fixator is slid to sit on the abdomen.