Percutaneous Endoscopic Gastrostomy

Percutaneous Endoscopic Gastrostomy (PEG) is a medical procedure in which a feeding tube is placed directly into the stomach through the abdominal wall. This tube allows for the direct delivery of nutrition, fluids, and medications to patients who are unable to eat or swallow orally due to various medical conditions.

Procedure:

Endoscopic Placement:

• An endoscope (a thin, flexible tube with a camera) is inserted through the mouth, down the esophagus, and into the stomach to visualize the placement area.
• The stomach is inflated with air to press it against the abdominal wall, creating a safe and accessible site for the tube insertion.
• A small incision is made in the abdominal wall, and a needle is passed through the skin and into the stomach.
• A guidewire is then inserted through the needle, which is used to pull the PEG tube into position, with one end inside the stomach and the other extending outside the body.

Securing the Tube:

• The internal end of the PEG tube has a bumper or balloon that holds it in place within the stomach.
• The external portion of the tube is secured to the skin with a fixation device or dressing.

Post-Procedure Care:

• The patient may be monitored for a short time after the procedure to ensure there are no immediate complications.
• Feeding through the PEG tube can usually begin within 24 hours.

Complications:

While PEG is generally considered safe, potential complications can include:

• Infection at the insertion site.
• Bleeding or injury to surrounding organs.
• Tube displacement or blockage.
• Peritonitis, which is a rare but serious infection of the abdominal cavity.