PEG tube placement
A PEG (percutaneous endoscopic gastrostomy) tube placement involves inserting a feeding tube directly into the stomach through the abdominal wall using endoscopy, allowing for nutrition delivery bypassing the mouth and esophagus.
Here's a more detailed explanation:
What it is:
A PEG tube is a feeding tube placed directly into the stomach.
Why it's needed:
People who cannot eat or drink adequately due to various conditions (stroke, brain injury, swallowing difficulties, etc.) may require a PEG tube for nutritional support.
How it's placed:
- An endoscope (a flexible, lighted tube with a camera) is passed through the mouth and into the stomach.
- A small incision is made in the abdomen.
- The PEG tube is guided through the incision and into the stomach under endoscopic guidance.
- A balloon or flared tip on the tube helps to keep it in place inside the stomach.
Procedure:
- The procedure is usually performed under local anesthesia and sedation.
- It's typically a same-day procedure.
- After the procedure, the patient can be discharged home.
Types of PEG tubes:
- PEG (percutaneous endoscopic gastrostomy): A tube placed directly into the stomach.
- PEJ (percutaneous endoscopic jejunostomy): A tube placed into the jejunum (the second part of the small intestine) if a PEG tube cannot be placed.
Benefits:
- Allows for direct delivery of nutrition, fluids, and medications into the stomach.
- Can be used for both short-term and long-term nutritional needs.
Risks and complications:
- Infection at the insertion site.
- Tube displacement or blockage.
- Perforation of the stomach or abdominal wall.
Care:
- The PEG tube needs to be cleaned regularly.
- The skin around the tube needs to be monitored for signs of infection or irritation.
- The feeding tube should be secured to prevent accidental removal.