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PEG
(Percutaneous Endoscopic Gastrostomy)
Or Gastrostomy |
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| What
Is PEG? |
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PEG, or Percutaneous Endoscopic Gastrostomy, is
a quick and safe procedure done to insert a feeding tube into the
stomach without the need for an operation. A standard gastroscope,
the type used to examine the stomach, is used to place a tube through
the wall of the stomach and abdomen.
This tube, made of flexible silicone, allows liquid feeds to be put
directly into the stomach.
Gastrostomy Tube |
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| The opening in the stomach and abdomen is called a gastrostomy. |
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| PEG is generally done on a doctor's recommendation
to provide an alternate way for feeding patients who are unable to
feed orally, e.g. patients who are: - |
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Unable to swallow following a stroke. |
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Receiving radiotherapy (RT) for tumour in the
oesophagus. |
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| What do you need to know about the procedure? |
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| PEG is done in the Endoscopy Centre. An appointment will be arranged.
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The stomach must
be empty to ensure that you do not vomit during the procedure.
You will be asked to fast for 6 hours before the appointment.
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Oral hygiene is important.
If you are coming for a PEG from home, you are advised to brush
your teeth before coming. It is a good idea to dissolve salt
in warm water and gargle with the mixture. |
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Before the procedure begins, an injection is given
to help you feel relaxed and sleepy. An injection of antibiotics is
also given to reduce the risk of infection of the gastrostomy. While
you are sleeping, the doctor will use the gastroscope to examine the
stomach and place the PEG tube.
When you wake up, there will be a dressing covering the PEG tube over
your abdomen.
It is very important that you do not pull on the tube, especially
in the first few weeks after placement. If the tube is accidentally
pulled out soon after it has been inserted, an operation may be necessary.
Most PEG patients stay in the hospital for a day or two after the
procedure. During this hospital stay, you and your caregiver will
be taught to manage the PEG. A dietician will advise you to ensure
that you receive adequate nutrition. |
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| Is the gastrostomy permanent? |
Some gastrostomies are performed for long-term use,
while others are for temporary supplemental feeding. If you are able
to eat orally and your doctor has approved this, it is encouraged
to do so. Use the tube to supplement the oral intake. When the tube
is not being used for feeding, flush with lukewarm water 3 - 4 times
a day to ensure its patency.
The tube can be easily removed or replaced where appropriate, upon
the doctor's review. The opening in the abdomen will close by itself
quite quickly after the tube is removed. |
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