- Percutaneous Endoscopic Gastrostomy (PEG) Center
- Take the Pancreatitis Quiz
- Boost Digestive Health
- Digestive Distress Slideshow: Problem Foods to Avoid
- Percutaneous endoscopic gastrostomy facts
- What is percutaneous endoscopic gastrostomy (PEG)?
- What is the purpose of percutaneous endoscopic gastrostomy (PEG)?
- Who does percutaneous endoscopic gastrostomy (PEG)?
- Where is percutaneous endoscopic gastrostomy done (PEG)?
- How is percutaneous endoscopic gastrostomy (PEG) performed?
- When can the percutaneous endoscopic gastrostomy patient go home (PEG)?
- What are the possible complications with percutaneous endoscopic gastrostomy (PEG)?
- What are the advantages of percutaneous endoscopic gastrostomy?
Percutaneous endoscopic gastrostomy facts
- Percutaneous endoscopic gastrostomy is a procedure that allows nutritional support for patients who cannot take food orally. Percutaneous endoscopic gastrostomy involves placement of a tube through the abdominal wall and into the stomach through which nutritional liquids can be infused.
- Percutaneous endoscopic gastrostomy is a surgical procedure; however, it does not require opening the abdomen or an operating room. Percutaneous endoscopic gastrostomy also does not require general anesthesia.
- Complications of percutaneous endoscopic gastrostomy include infection, leakage of nutritional liquids that are infused and clogging of the tube.
- Percutaneous endoscopic gastrostomy is preferable to surgical gastrostomy
What is percutaneous endoscopic gastrostomy (PEG)?
Percutaneous endoscopic gastrostomy (PEG) is a surgical procedure for placing a tube for feeding without having to perform an open operation on the abdomen (laparotomy). It is used in patients who will be unable to take in food by mouth for a prolonged period of time. A gastrostomy, or surgical opening into the stomach, is made through the skin using an a flexible, lighted instrument (endoscope) passed orally into the stomach to assist with the placement of the tube and secure it in place.
What is the purpose of percutaneous endoscopic gastrostomy (PEG)?
The purpose of a percutaneous endoscopic gastrostomy is to feed those patients who cannot swallow food. Irrespective of the age of the patient or their medical condition, the purpose of percutaneous endoscopic gastrostomy is to provide fluids and nutrition directly into the stomach.
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, unless they are in the hospital for other reasons.
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.
What are the advantages of percutaneous endoscopic gastrostomy?
Percutaneous endoscopic gastrostomy takes less time, carries less risk and costs less than a surgical gastrostomy which requires opening the abdomen. Percutaneous endoscopic gastrostomy is commonly performed, so there are many physicians with experience in performing the procedure. When feasible, percutaneous endoscopic gastrostomy is preferable to a surgical gastrostomy.
Latest Digestion News
Daily Health News
Health Solutions From Our Sponsors
DeLegge, Mark H., MD, FACG, AGAF. "Gastrostomy tubes: Placement and routine care"
UptoDate. Updated Aug. 11, 2016.
Top Percutaneous Endoscopic Gastrostomy Related Articles
ChemotherapyChemotherapy is the treatment of cancer with drugs that can destroy cancer cells. These drugs often are called "anticancer" drugs. Chemotherapy is often used with other treatments. Coping with side effects (fatigue, nausea, vomiting, pain, hair loss, infection, diarrhea, constipation, fluid retention, mouth and throat problems) are important to understand when undergoing chemotherapy treatment. It is important to eat well during chemotherapy, and get the support you need both during and after treatment.
Chemotherapy Treatment for Breast CancerChemotherapy refers to medications that are administered to kill or slow the growth of cancerous cells. Chemotherapy may be given orally or intravenously. Side effects of breast cancer chemotherapy may include nausea, vomiting, hair loss, increased risk of infection, fatigue, and easy bruising. Receiving chemotherapy causes changes in a woman's menstrual cycle.
Esophageal CancerEsophageal cancer is a disease in which malignant cells form in the esophagus. Risk factors of cancer of the esophagus include smoking, heavy alcohol use, Barrett's esophagus, being male and being over age 60. Severe weight loss, vomiting, hoarseness, coughing up blood, painful swallowing, and pain in the throat or back are symptoms. Treatment depends upon the size, location and staging of the cancer and the health of the patient.
Head and Neck CancerHead and neck cancer is cancer of the oral cavity, salivary glands, paranasal sinuses and nasal cavity, pharynx, larynx, or lymph nodes in the upper part of the neck. These cancers account for 3% to 5% of cancers in the U.S. Tobacco and alcohol use are important risk factors. Treatment may involve surgery, radiation therapy, and/or chemotherapy.
Radiation TherapyRadiation therapy is a cancer-fighting technique. In radiation therapy, a radiation oncologist uses high-energy rays to kill cancer cells and stop them from growing and dividing. The two types of radiation therapy are external and internal. Potential side effects of radiation therapy include:
- skin redness,
- permanent pigmentation,
- diarrhea, and
- a reduction in white blood cells.
Radiation Therapy for Breast CancerRadiation refers to high-energy rays that are directed at the breast to kill or slow the growth of cancer cells. Radiation reduces the risk of local cancer recurrence in the breast. Potential side effects include skin redness, swelling, peeling, and fatigue. It is necessary to undergo follow-up exams and diagnostic X-rays after completing radiation therapy for breast cancer.
What Is the Surgical Procedure for Pyloroplasty?The pylorus is the lowermost part of the stomach, where it connects to the beginning of the small intestine (duodenum). Pyloroplasty is a surgical procedure to widen the pylorus by cutting and relaxing the pyloric sphincter muscle of the stomach.