PEG

Gastroenterologist in Manikonda

Understanding PEG: Procedure, Uses, and Benefits

Percutaneous Endoscopic Gastrostomy (PEG) is a minimally invasive procedure used to insert a feeding tube directly into the stomach through the abdominal wall. PEG is commonly performed in patients who are unable to eat or swallow adequately due to conditions such as neurological disorders, head and neck cancers, or severe gastrointestinal diseases. The PEG tube allows for the delivery of nutrition, fluids, and medications directly into the stomach, bypassing the mouth and esophagus.

Procedure Overview

During a PEG procedure:

  • Preparation: Before the procedure, patients may receive sedation or anesthesia to help them relax and minimize discomfort.
  • Endoscopic Guidance: The gastroenterologist uses an endoscope inserted through the mouth to visualize the stomach and identify the optimal site for PEG tube placement.
  • Insertion of PEG Tube: A small incision is made in the abdominal wall, and a special catheter with an endoscopic camera attached (called an endoscope) is inserted through the incision and into the stomach. Using the endoscope, the gastroenterologist guides a feeding tube (PEG tube) into the stomach and positions it securely against the stomach wall.
  • Securing the Tube: Once the PEG tube is in place, an internal bumper or external retention device is used to secure the tube against the abdominal wall, preventing displacement.
  • Testing and Confirmation: The placement of the PEG tube is confirmed using imaging techniques such as X-ray or fluoroscopy to ensure proper positioning and function.
  • Care and Maintenance: Patients and caregivers are instructed on how to care for the PEG tube, including cleaning, feeding, and medication administration techniques.

Uses and Benefits of PEG

PEG is used for:

  • Nutritional Support: PEG allows for the delivery of essential nutrition, fluids, and medications directly into the stomach, ensuring adequate caloric intake and hydration in patients unable to eat or swallow orally.
  • Improved Quality of Life: By providing a reliable and convenient method of nutrition delivery, PEG can improve quality of life and nutritional status in patients with swallowing difficulties or feeding intolerance.
  • Long-term Feeding: PEG is suitable for long-term nutritional support in patients with chronic conditions such as neurological disorders, head and neck cancers, or gastrointestinal diseases.
  • Minimally Invasive: PEG is performed using minimally invasive techniques, resulting in shorter recovery times, reduced risk of complications, and improved patient comfort compared to traditional surgical feeding tube placement methods.
  • Enhanced Mobility: Unlike nasogastric (NG) tubes, which are inserted through the nose and can be uncomfortable or restrictive, PEG tubes are discreetly positioned on the abdomen, allowing for greater mobility and comfort for patients.

Conclusion

Percutaneous Endoscopic Gastrostomy (PEG) is a valuable procedure used to provide long-term nutritional support in patients unable to eat or swallow orally due to various medical conditions. By allowing for the direct delivery of nutrition, fluids, and medications into the stomach, PEG helps improve quality of life and nutritional status in individuals with feeding difficulties.

Contact Us

If you or a loved one requires nutritional support or PEG tube placement, consider scheduling a consultation with Dr. G Harsha Vardhan Reddy at Adithya Gastro and Liver Care Clinic in Manikonda, Hyderabad. Our team of experienced gastroenterologists is dedicated to providing comprehensive care and personalized treatment options to improve your digestive health and well-being.

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Gastroenterologist in Manikonda
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