Percutaneous Endoscopic Gastrostomy
Reasons for Procedure
- Feed a person who has a hard time sucking or swallowing, or who is otherwise unable to eat
- Drain the stomach of fluids that have built up
- PEG tube malfunction
- Aspiration—accidental sucking into the airways of fluid, food, or any foreign material
- Damage to other organs
- Inflammation of the lining of the abdomen
- Irritation of the skin near the tube
- An abnormal opening between two structures—fistula
What to Expect
Prior to Procedure
- Physical exam
- Medical history
- Review of medications
- Blood and urine tests
- X-rays of the abdomen
- Endoscopic examination of stomach—An endoscope is long tube with a camera at the end that can be put down the throat into the stomach.
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
- Do not have nutrition or fluids for at least 8 hours before the procedure.
- Arrange for a ride to and from the hospital.
- Local anesthesia—usually a lidocaine spray to numb the throat
- Pain medication is usually given with an IV
- To help you relax, you may be give a sedative
Description of the Procedure
|Percutaneous Endoscopic Gastrostomy Procedure|
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How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- Medications to prevent pain or blood clots
- Elevating your legs while in bed
- Moving around to as soon as possible to promote healing
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered and PEG tube protected
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions or the PEG tube
Call Your Doctor
- Pain that you cannot control with the medications you've been given
- The tube falls out
- Problems with the function of the tube or drainage around the tube
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the gastrostomy site
- Headaches, muscle aches, lightheadedness, or general ill feeling
- Nausea, vomiting, constipation, or abdominal swelling
American College of Gastroenterology http://gi.org
American Society for Gastrointestinal Endoscopy http://www.asge.org
Dietitians of Canada http://www.dietitians.ca
Health Canada http://www.hc-sc.gc.ca
Avitsland TL, Kristensen C, Emblem R, et al. Percutaneous endoscopic gastrostomy in children: A safe technique with major symptom relief and high parental satisfaction. J Pediatr Gastroenterol Nutr. 2006;43(5):624-628.
Ljungdahl M, Sundbom M. Complication rate lower after percutaneous endoscopic gastrostomy than after surgical gastrostomy: a prospective, randomized trial. Surg Endos. 2006;20(8):1248-1251.
Percutaneous endoscopic gastrostomy (PEG). American College of Gastroenterology website. Available at: http://patients.gi.org/topics/percutaneous-endoscopic-gastrostomy-peg. Accessed December 6, 2013.
Percutaneous endoscopic gastrostomy (PEG). American Society for Gastrointestinal Endoscopy website. Available at: http://www.asge.org/publications/publications.aspx?id=394&terms=gastrostomy. Accessed December 6, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: A systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael Woods, MD
- Review Date: 06/2015 -
- Update Date: 06/23/2015 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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