Gastrostomy: Permanent and Temporary
by Editorial Staff And Contributors
This is surgery to place a tube through the abdomen and into the stomach. Gastrostomy can be done as:
Reasons for Procedure
A gastrostomy tube provides an alternative feeding site. It may be needed to:
Possible Complications TOP
If you are planning to have gastrostomy, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the surgery.
What to Expect TOP
Prior to Procedure
Your doctor will likely do the following:
Leading up to your procedure:
General anesthesia will be used. It will block any pain and keep you asleep through the surgery.
Description of the Procedure
If you are unable to undergo PEG, the doctor will do this open procedure. In some cases, gastrostomy may be done at the same time as another stomach surgery. The doctor will make an incision through the skin, abdominal wall, and into the stomach. A tube will then be placed through the skin and into the stomach. This tube will be stitched in place. The doctor will then close the incision.
Immediately After Procedure
The doctor will make sure that the tube is placed correctly. You will be moved to the recovery room and monitored closely.
How Long Will It Take?
1 hour or longer
How Much Will It Hurt?
You will have pain after the surgery. Ask your doctor about medicine to help with the pain.
Average Hospital Stay
This procedure is done in a hospital setting. The usual length of stay is several days. Your doctor may choose to keep you longer if complications arise.
Call Your Doctor TOP
After you leave the hospital, contact your doctor if any of the following occurs:
The American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
The Canadian Association of Gastroenterology
American Society for Gastrointestinal Endoscopy website. Available at: http://www.asge.org . Accessed September 4, 2009.
Cecil RL, Goldman L, Bennett J. Cecil Textbook of Medicine. 21st ed. Philadelphia, PA: WB Saunders Company; 2000.
Sleisenger M, Fordtran J, Feldman M, Scharschmidt B. Sleisenger & Fordtran's Gastrointestinal and Liver Disease . 6th ed. Philadelphia, PA: WB Saunders Co; 1998.
Last reviewed November 2012 by Daus Mahnke, MD
Last Updated: 11/26/2012