Percutaneous endoscopic gastrostomy (PEG) is a procedure to place a tube through the belly wall and into the stomach.
A PEG gives you a different way to get nutrients. It may be needed to:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems such as:
Your chances of problems are higher for:
You may have:
Leading up to your procedure:
An endoscope will be inserted through your mouth and into your stomach. The camera will send images to a video monitor. This will help find the right place for the PEG tube.
A needle will be placed through the belly wall and into the stomach. A thin wire will be passed from the outside of the body, through a needle, and into the stomach. This wire will be grasped with a snare in the belly and pulled out through the mouth. There will be a thin wire from the front of the belly, going into the stomach, and continuing up and out of the mouth. The PEG feeding tube will then be attached to this wire. The wire will be pulled back out from the belly. This will pull the PEG tube down into the body.
A small cut will be made in the belly. The tube will be pulled until the tip comes out from this cut. A soft, round bumper will be attached to the ends of the PEG tube. It will keep the tube secure. Germ-free gauze will be placed around the wound. The PEG tube will be taped to the belly.
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Anesthesia will prevent pain during surgery. Medicines will ease pain afterwards.
You may need an overnight stay. If you have problems, you may need to stay longer.
The healthcare staff will watch your breathing, heart rate, and pulse. Care may include:
During your stay, the healthcare staff will take steps to lower your chances of infection such as:
There are also steps you can take to lower your chances of infection such as:
You will need to:
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
American Gastroenterological Association
American Society of Colon and Rectal Surgeons
Canadian Association of Gastroenterology
The College of Family Physicians of Canada
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(5):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(8):1248-1251.
Percutaneous endoscopic gastrostomy (PEG). American College of Gastroenterology website. Available at: http://patients.gi.org/topics/percutaneous-endoscopic-gastrostomy-peg. Accessed August 24, 2018.
Understanding percutaneous endoscopic gastrostomy (PEG). American Society for Gastrointestinal Endoscopy website. Available at: https://www.asge.org/home/for-patients/patient-information/understanding-peg. Accessed August 24, 2018.
6/2/2011 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T905141/Treatment-for-tobacco-use: 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.
Last reviewed June 2018 by EBSCO Medical Review Board Marcin Chwistek, MD Last Updated: 8/24/2018