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All parts of the tube, aside from the tubing itself and the internal bumper, can be replaced if needed. British Journal of Nursing. If a dressing is used to absorb leakage, select a thin dressing such as gauze and secure the flange against it to prevent further leakage. Leakage may also occur if the tube is too small for the stoma, as gastric contents can leak around the tube. When the endoscope is in the stomach the light at the end of it shines through the skin; at this point, the lights in the room are dimmed so the endoscopy light can be detected through the abdomen and used to help identify the position of the stomach. The NNNG good-practice guidelines also give further guidance on how to progress treatment if this first plan is unsuccessful.

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