Devices, systems and methods are disclosed for providing a direct visual indication of the relative inflationary condition of the balloon on a balloon catheter after insertion into the patient. In certain exemplary embodiments, a gastrostomy tube catheter is disclosed having a fluid feeding lumen and a balloon inflation lumen, a balloon communicating with the balloon inflation lumen, and an indicator strip having one end fixedly attached to the balloon and a free end movable along the length of the tube in accordance with the relative inflation and deflation of the balloon. The presence of the free end of the strip along an exposed portion of the gastrostomy tube serves as a direct visual indicator of a deflated condition of the balloon.