Percutaneous Endoscopic Gastrostomy
Reasons for Procedure
- Feed a person who has a hard time sucking or swallowing
- 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 skin near the tube
What to Expect
Prior to Procedure
- Physical exam
- Medical history
- Review of medicines
- 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 medicines. You may be asked to stop taking some medicines up to one week before the procedure, such as:
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- Do not eat or drink for at least eight hours before the procedure.
- Arrange for a ride to and from the hospital.
- Local anesthesia—usually a lidocaine spray to numb the throat
- Pain medicine is usually given through a vein in your arm
- Sedative—to help you relax
Description of the Procedure
|Percutaneous Endoscopic Gastrostomy Procedure|
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How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- When resting in bed, keep legs elevated and moving to avoid blood clots.
- Do not smoke.
- Take prescription pain medicine as instructed. Avoid taking aspirin or aspirin-containing products unless instructed otherwise.
- To promote healing, resume normal activities as soon as possible.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions.
Learn to feed yourself properly through the PEG feeding tube:
- You will receive fluids through an IV for a day or two. Then, you will start to get clear liquids through the PEG tube. If this works well, you will start a formula feed through the tube.
- A dietitian will teach you how to use your PEG tube. She will also teach you how to choose an appropriate tube-feeding formula.
- Remain upright for 30-60 minutes after eating.
- Learn the proper care of your PEG tube.
- Change the sterile gauze pads around the incision site regularly.
- Wash the PEG tube and the skin around it regularly to avoid infection.
- Learn how to empty your stomach through the tube.
- Learn how to recognize and handle problems like a blocked tube or a tube that falls out of place.
- Tape the tube site when it is not in use to prevent dislodging.
Call Your Doctor
- Pain that you cannot control with the medicines you have been given
- 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 incision site
- Headaches, muscle aches, dizziness, or general ill feeling
- Nausea, vomiting, constipation, or abdominal swelling
American Society for Gastrointestinal Endoscopy http://www.asge.org
Oral Cancer Foundation http://www.oralcancerfoundation.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;43:624-628.
Ljungdahl M, Sundbom M. Complication rate lower after percutaneous endoscopic gastrostomy than after surgical gastrostomy: a prospective, randomized trial. Surg Endos. 2006;20:1248-1251.
Overview—percutaneous endoscopic gastrostomy (PEG). Cleveland Clinic website. Available at: http://my.clevelandclinic.org/services/Percutaneous%5FEndoscopic%5FGastrostomy%5FPEG/hic%5FPercutaneous%5FEndoscopic%5FGastrostomy%5FPEG.aspx. Accessed June 13, 2008.
Percutaneous endoscopic gastrostomy (PEG). American College of Gastroenterology website. Available at: http://www.gi.org/patients/gihealth/peg.asp. Accessed June 21, 2009.
Percutaneous endoscopic gastrostomy (PEG). American Society for Gastrointestinal Endoscopy website. Available at: http://www.asge.org/PatientInfoDefault.aspx?id=364. Accessed June 13, 2008.
6/2/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: 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: Marcin Chwistek, MD
- Review Date: 10/2012 -
- Update Date: 10/31/2012 -