Percutaneous Endoscopic Gastrostomy (PEG)

  • Medical Author:
    Jay W. Marks, MD

    Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

  • Medical Editor: William C. Shiel Jr., MD, FACP, FACR
    William C. Shiel Jr., MD, FACP, FACR

    William C. Shiel Jr., MD, FACP, FACR

    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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Who does percutaneous endoscopic gastrostomy (PEG)?

Percutaneous endoscopic gastrostomy is done by a physician. The physician may be a general surgeon, an otolaryngologist (ENT specialist), radiologist, or a gastroenterologist (gastrointestinal specialist).

Where is percutaneous endoscopic gastrostomy done (PEG)?

PEG is performed in a hospital or outpatient surgical facility. It is not necessary to perform a percutaneous endoscopic gastrostomy in an operating room.

How is percutaneous endoscopic gastrostomy (PEG) performed?

Local anesthesia (usually lidocaine or another spray) is used to anesthetize the throat. An endoscope (a flexible tube with a camera and a light on the end) is passed through the mouth, throat and esophagus into the stomach. The physician then makes a small incision (cut) in the skin of the abdomen over the stomach and pushes a needle through the skin and into the stomach. The tube for feeding then is pushed through the needle and into the stomach. The tube then is sutured (tied) in place to the skin.

When can the percutaneous endoscopic gastrostomy patient go home (PEG)?

The patient usually can go home the same day or the next morning.

What are the possible complications with percutaneous endoscopic gastrostomy (PEG)?

Possible complications include infection of the puncture site (as in any kind of surgery,) dislodgement of the tube with leakage of the liquid diet that is fed through the tube into the abdomen, and clogging of the tube.

Medically Reviewed by a Doctor on 6/10/2015

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