What is a ventriculogastrostomy (vent) gastrostomy tube (G-tube)?

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Last updated: May 6, 2025 • View editorial policy

From the Guidelines

A vent g-tube, or venting gastrostomy tube, is a specialized tube placed directly into the stomach to release excess gas and fluid, primarily used for decompression and relief of symptoms such as nausea, bloating, and vomiting in patients with malignant gastric obstruction, as recommended by the NCCN guidelines 1, 2.

Key Characteristics of Vent G-Tubes

  • Unlike standard gastrostomy tubes, vent g-tubes are mainly used for decompression rather than feeding
  • They can be placed surgically, endoscopically, or through interventional radiology, depending on the patient's condition and tumor location
  • Vent g-tubes can be left open to drain passively into a collection bag or vented periodically by opening a cap or clamp ### Clinical Applications
  • Vent g-tubes are commonly used in patients with chronic intestinal obstruction, gastroparesis, or other conditions that cause delayed gastric emptying
  • They can also be used in patients with malignant gastric obstruction who cannot be alleviated or bypassed, as a palliative measure to reduce symptoms 2
  • The placement of a vent g-tube should be individualized, taking into account the patient's overall condition, prognosis, and tumor location ### Important Considerations
  • Ascites should be drained before venting gastrostomy tube placement to reduce the risk of infectious complications 1, 2
  • Nutritional counseling and feeding gastrostomy tubes or jejunal feeding tubes may be necessary to provide adequate hydration and nutritional support for patients who cannot tolerate an oral diet 3

From the Research

Definition of Vent G-Tube

There are no research papers to assist in answering this question, as the provided studies do not mention a "vent g-tube".

  • Gastrostomy tubes are used for providing enteral access for long-term nutritional support 4
  • Complications of gastrostomy tube placement include gastric outlet obstruction (GOO), which is a clinical syndrome characterized by nausea, postprandial nonbilious vomiting, epigastric pain, early satiety, abdominal distention, and insidious weight loss due to mechanical obstruction in the distal stomach, pylorus, or duodenum 4, 5
  • Migration and malposition of a gastrostomy tube can lead to gastric outlet obstruction, and simple adjustment of the tube can lead to rapid improvement and resolution of the patient's clinical condition 4, 6

References

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