Percutaneous endoscopic gastrostomy (PEG) is a medical procedure used to place a feeding tube directly into the stomach through the abdominal wall. This is typically done for patients who are unable to eat by mouth due to various conditions, such as neurological disorders, cancer, or other illnesses.
Key Points:
Procedure:
- Performed under sedation and local anesthesia.
- An endoscope is inserted through the mouth to visualize the stomach.
- A small incision is made in the abdominal wall, and a feeding tube is inserted into the stomach.
Indications:
- Long-term nutritional support for patients with swallowing difficulties.
- Conditions such as stroke, head and neck cancers, or severe dementia.
Advantages:
- Minimally invasive compared to surgical gastrostomy.
- Can be performed at the bedside or in an outpatient setting.
Risks:
- Infection at the insertion site.
- Perforation of the stomach or surrounding organs.
- Tube dislodgment or blockage.
Care:
- Regular cleaning of the insertion site.
- Monitoring for any signs of infection or complications.
Follow-up:
- Patients typically require follow-up to ensure the tube is functioning properly and to adjust feeding regimens.