Percutaneous Endoscopic Gastrostomy
What is a Percutaneous Endoscopic Gastrostomy (PEG)?
A PEG is done for patients who have difficulty swallowing and is a safe way to provide substance directly into the stomach. An endoscope is used for correct position of the PEG tube (feeding tube) in the stomach. The PEG tube rests in the stomach and exits through the skin of the abdomen.
Why a PEG?
A PEG is necessary in order to maintain adequate nutrition.
Preparing for Your PEG
Patients will be given specific instructions to prepare for their PEG. This will include detailed instructions on diet and medication. A clear liquid diet is usually the designated diet before the procedure.
A PEG will require medication that may cause drowsiness. Under these circumstances, patients are required to have a licensed driver take them back home (taxi’s are not allowed).
During Your PEG
Steps will be taken to ensure that you will be as comfortable as possible. An intravenous line (IV) will be placed to give you medication to make you feel more at ease. The physician will insert an endoscope through the mouth and into your stomach. The physician will view the stomach lining to determine the PEG tube insertion site and will make a small incision in the abdominal wall where the PEG tube will exit. The procedure tends to last around 30-45 minutes.
After the PEG
After the procedure, you will be observed closely for any complications or problems. You can expect some drainage around the PEG tube for the first two days. A dietitian will teach you how to use and care for your PEG tube.
Minor problems may arise, such as soreness in the abdomen where the PEG tube was inserted. Be sure to contact your health care provider if you are having difficulty with your PEG tube.
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