Which tube requires immediate replacement if it becomes dislodged?

• A. Jejunostomy tube
• B. Nasogastric tube
• C. Nasojejunal tube
• D. Nasoduodenal tube

Answer: (A)

When an enteral access tube is dislodged, the urgency depends on whether there is a surgically created tract. A jejunostomy tube sits in the jejunum through a stoma in the abdominal wall. If it is pulled out, the tract may not be fully mature and intestinal contents can leak into the peritoneal cavity, raising the risk of peritonitis. Replacing it immediately helps prevent leakage and preserves enteral access. Tubes that pass through natural lumens, like a nasogastric or nasojejunal tube, don’t create an open tract from the peritoneal cavity when dislodged, so reinsertion is important but the immediate risk of contamination is lower.