Early Feeding Following Percutaneous Gastrostomy Tube Placement

Inclusion Criteria: * Patients between the ages of 18-80 years * Outpatients receiving a gastrostomy tube at University of Colorado that do not require post-pyloric feeding * Patients that have no contraindication for intragastric feeding immediately following tube placement * INR (international normalized ratio) \<1.5 * Platelet count \> 50,000/µL * WBC (white blood cell count) 4.0-11.1 x 109/L Exclusion Criteria: * Patients \< 18 years or \> 80 years of age * Patients admitted to the hospital at the time of screening (i.e., inpatients) * Women who are pregnant (confirmed by urine pregnancy screen) * Patients requiring post-pyloric feeding * Patients receiving venting gastrostomy tubes * Patients receiving primary Gastro-Jejunal (GJ) Tube tube placement * Patients with an interposed bowel on CT after stomach insufflation * INR \> 1.5 * Platelet count \< 50,000/µL * WBC \> 11.1 x 109/L * Known active infection * Need for post-gastric feeding * History of gastric bypass surgery or Roux-En-Y * Mechanical obstruction of the GI tract * Active peritonitis * Known hemodynamic instability as demonstrated by tachycardia, hypotension, labile blood pressure or altered mental status. * Bowel ischemia * Ascites * Recent Gastro-Intestinal (GI) bleeding (within 2 weeks) * Respiratory compromise as demonstrated by hypercarbia (CO2\>45mmHg) or hypoxia (O2\<90%) * Unable to provide informed consent