Percutaneous Endoscopic Gastrostomy (cont.)

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Who does percutaneous endoscopic gastronomy?

Percutaneous endoscopic gastronomy 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 gastronomy done?

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

How is percutaneous endoscopic gastronomy done?

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 gastronomy patient go home?

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

What are the possible complications with percutaneous endoscopic gastronomy?

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 2/24/2014

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