Percutaneous Endoscopic Gastronomy (PEG)
Tubes and replacement tubes:
What is a PEG placement?
PEG placement is also referred to as gastrostomy tube insertion, g-tub insertion, or stomach tube insertion. A PEG placement is a procedure in which a feeding tube is inserted through the abdominal wall into the stomach during an Upper Endoscopy (EGD). The physician will make a small incision on the left side of the abdomen and then insert a small, hollow, flexible tube (referred to as a catheter) with a balloon or flared tip through the stomach. PEG tubes may be inserted for a variety of reasons and may be either temporary or permanent. Reasons for PEG tubes include: Link to:
- Birth defects of the mouth, esophagus, or stomach (esophageal atresia or tracheal esophageal fistulas)
- Swallowing disorders
- Malnourished patients who are not able to take enough food by mouth
- Persons who continually aspirate while eating
What can expect before this procedure?
Before this procedure, you should plan to take the entire day off from work, and since you will be sedated, you should arrange for someone to drive you home after the exam is completed. You will be instructed to avoid consuming any food or liquids (including water) for at least six hours prior to the time of the procedure. You may also be provided with specific medication restrictions prior to the exam. The entire procedure should take approximately 20-30 minutes. A nurse clinician will go over specific instructions with you prior to the day of your scheduled procedure.
What can I expect during this procedure?
You will be sedated throughout the procedure. A nurse will begin by starting an intravenous line in your arm, through which the sedation medication will be received. During the exam, there is often a feeling of pressure in the abdominal region. Your physician may take biopsies (small tissue samples) or remove polyps (small growths on the lining of the stomach) while he or she is performing the PEG placement.
What can I expect after this procedure?
After the procedure is completed, you will be placed in a recovery room for approximately 30-45 minutes so any medication can subside. Your physician will then discuss the preliminary findings of the PEG placement with you. You will also be provided with any diet or medication restrictions before you leave. After the exam, you may experience a sore throat but you should not be too uncomfortable. Your stomach and abdomen should heal within one week. Moderate pain can be managed with medications, as recommended by your physician or nurse. You will be able to consume clear liquids and slowly increase the amount of food and liquids you consume.
Related websites and resources:
| University of Missouri Health Care | This information is not intended to replace the advice of a doctor. |
