Percutaneous Endoscopic Gastrostomy
Percutaneous Endoscopic Gastrostomy (PEG) is a minimally invasive procedure used to place a feeding tube directly into the stomach through the abdominal wall. It is performed using an endoscope and is intended for patients who are unable to eat by mouth for extended periods.
Who Needs a PEG Tube?
PEG is recommended for patients who:
- Have neurological conditions affecting swallowing (e.g., stroke, ALS, Parkinson’s disease)
- Suffer from head and neck cancers
- Have esophageal strictures or obstructions
- Require long-term nutritional support but have a functioning digestive system
How Is It Done?
- The procedure is performed under mild sedation and local anesthesia.
- A flexible endoscope is passed through the mouth into the stomach to visualize the site.
- A small incision is made in the abdominal wall, and the feeding tube is guided into place.
- The entire process usually takes 15–30 minutes.
Benefits of PEG Tube Placement:
- Long-term nutritional support (can remain for months)
- Minimally invasive with quick recovery
- Helps maintain weight, hydration, and medication delivery
- Improves quality of life in chronically ill patients
Post-Procedure Care:
- Most patients can go home within a day.
- Instructions are given for tube care, feeding procedures, and infection prevention.
- Routine follow-ups may be needed to check placement and function.
Is It Safe?
PEG is considered a safe and well-tolerated procedure. Complications are rare but may include:
- Local site infection
- Bleeding
- Dislodgement or blockage of the tube
Percutaneous Endoscopic Gastrostomy is a vital option for patients requiring long-term enteral nutrition, offering a reliable and comfortable method to maintain health and recovery.
