Gastrostomy tube insertion-discharge; G-tube insertion-discharge; PEG tube insertion-discharge; Stomach tube insertion-discharge; Percutaneous endoscopic gastrostomy tube insertion-discharge
A PEG (percutaneous endoscopic gastrostomy) feeding tube insertion is the placement of a feeding tube through the skin and the stomach wall. It goes directly into the stomach. PEG feeding tube insertion is done in part using a procedure called endoscopy.
Feeding tubes are needed when you are unable to eat or drink. This may be due to stroke or other brain injury, problems with the esophagus, surgery of the head and neck, or other conditions.
Your PEG tube is easy to use. You (or your caregiver) can learn to care for it on your own and even give yourself tube feedings.
Here are the important parts of your PEG tube:
After you have had your gastrostomy for a while and the stoma is established, something called a button device can be used. These make feedings and care easier.
The tube itself will have a mark that shows where it should be leaving the stoma. You can use this mark whenever you need to confirm the tube is in the correct position.
Things you or your caregivers will need to learn include:
Feedings will start slowly with clear liquids, and increase slowly. You will learn how to:
If you have any moderate pain, it can be treated with medicine.
Drainage from around the PEG tube is common for the first 1 or 2 days. The skin should heal in 2 to 3 weeks.
You will need to clean the skin around the PEG-tube 1 to 3 times a day.
For the first 1 to 2 weeks, you provider will likely ask you to use sterile technique when caring for your PEG-tube site.
Your health care provider may also want you to put a special absorbent pad or gauze around the PEG-tube site. This should be changed at least daily or if it becomes wet or soiled.
Do not use any ointments, powders, or sprays around the PEG-tube unless told to do so by your provider.
Ask your provider when it is ok to shower or bathe.
If the feeding tube comes out, the stoma or opening may begin to close. To prevent this problem, tape the tube to your abdomen or use the fixation device. A new tube should be placed right away. Call your provider for advice on next steps.
Your provider can train you or your caregiver to rotate the gastrostomy tube when you are cleaning. This prevents it from sticking to the side of stoma and opening leading to the stomach.
You should call your provider if:
Also call your provider if you:
Samuels LE. Nasogastric and feeding tube placement. In: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 40.
Twyman SL, Davis PW. Percutaneous endoscopic gastrostomy placement and replacement. In: Fowler GC, ed. Pfenninger and Fowler's Procedures for Primary Care. 4th ed. Philadelphia, PA: Elsevier; 2020:chap 92.BACK TO TOP
Review Date: 7/1/2021
Reviewed By: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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