Percutaneous Endoscopic Gastrostomy
Percutaneous endoscopic gastrostomy (PEG) is a procedure that places a tube through the abdominal wall and into the stomach.
Reasons for Procedure
A gastrostomy tube provides an alternative feeding site. It may be needed to:
If you are planning to have a PEG, your doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
What to Expect
Prior to Procedure
Your doctor may do the following:
Leading up to your procedure:
Description of the Procedure
You will be given antibiotics for the procedure.
An endoscope is a long thin tool with a light and camera. It will be inserted through your mouth, down your throat, and into your stomach. The camera will send images to a video monitor. The doctor will use the images to find the right spot to insert the PEG feeding tube.
A needle will be inserted through the abdominal wall and into the stomach at the chosen spot. Using the endoscope, the doctor will locate the end of the needle inside the body. A thin wire will be passed from the outside of the body, through this needle, and into the stomach. This wire will be grasped with a snare in the abdomen and pulled out through the mouth. There will be a thin wire entering the front of the abdomen, 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 abdomen. This will pull the PEG tube down into the body.
A small incision will be made in your abdomen. The tube will be pulled until the tip comes out of the incision in the abdominal wall. A soft, round bumper will be attached to the ends of the PEG tube. It will keep the tube secure. Sterile gauze will be placed around the incision site. The PEG tube will be taped to your abdomen.
How Long Will It Take?
Will It Hurt?
Anesthesia prevents pain during the procedure. You may feel some discomfort. For a couple of days after the procedure, you may have minor pain and soreness at the incision site. This may feel like a pulled muscle. Your doctor can prescribe medicine to relieve this discomfort.
Average Hospital Stay
The usual length of stay is one day. Your doctor may choose to keep you longer if complications arise.
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
In case of an emergency, call for medical help right away.
American Society for Gastrointestinal Endoscopy
Oral Cancer Foundation
Dietitians 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;43:624-628.
Ljungdahl M, Sundbom M. Complication rate lower after percutaneous endoscopic gastrostomy than after surgical gastrostomy: a prospective, randomized trial. Surg Endos. 2006;20:1248-1251.
Overview—percutaneous endoscopic gastrostomy (PEG). Cleveland Clinic website. Available at: http://my.clevelan.... Accessed June 13, 2008.
Percutaneous endoscopic gastrostomy (PEG). American College of Gastroenterology website. Available at: http://www.gi.org/patients/gihealth/peg.asp. Accessed June 21, 2009.
Percutaneous endoscopic gastrostomy (PEG). American Society for Gastrointestinal Endoscopy website. Available at: http://www.asge.org/PatientInfoDefault.aspx?id=364. Accessed June 13, 2008.
6/2/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: 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.e8.
Last reviewed October 2012 by Marcin Chwistek, MD