Percutaneous Endoscopic Gastrostomy – Best Gastroenterologist Explained

What is a PEG

Percutaneous endoscopic gastrostomy (PEG) is a procedure that involves inserting a flexible feeding tube through the abdominal wall and into the stomach. According to the bestgastroenterologist in Nashik, PEG bypasses the mouth and oesophagus, allowing nutrition, fluids, and/or drugs to be delivered straight to the stomach.

What is the procedure for performing the PEG

Your doctor will use an endoscope, a lighted flexible tube, to guide the making of a small opening through the upper abdomen and directly into the stomach. The doctor uses this operation to insert and secure a feeding tube into the stomach. Prior to the procedure, patients are given an intravenous anaesthetic and local anaesthetic, as well as an antibiotic through vein. Patients can normally return home the same day or the next day after their surgery.

Who may undergo a PEG

This surgery can help patients who have trouble swallowing, have problems with their appetite, or are unable to get enough nutrients through their mouth. Patients with dense stroke (haemorrhagic or ischemic), motor neuron disease, DIA, and other conditions use it heavily.

What should I do with the PEG tube

Following the treatment, a dressing will be applied to the PEG site. After one or two days, the dressing is usually removed. After that, clean the region with diluted soap and water once a day and keep it dry in between cleansings. There is no need for any extra dressing or covering.

How can feedings be given? Is it still possible for me to eat and drink

The PEG tube is used to administer specialised liquid nutrients as well as fluids. There will still be restrictions on oral intake if the PEG tube is implanted due to swallowing problems (e.g., after a stroke). Although some PEG patients may continue to eat or drink following the treatment, this is something you should talk to your gastrointestinal specialist in Nashik about.

Are there any risks associated with PEG placement

PEG placement can lead to complications. Pain at the PEG site, leakage of stomach contents around the tube site, and tube dislodgment or malfunction are all possible problems. Infection of the PEG site, aspiration (inhalation of gastric contents into the lungs), haemorrhage, and perforation are all possible problems (an unwanted hole in the bowel wall). Symptoms that could signal a potential complication can be described by your doctor.

 

How long are these tubes good for? How can they be removed

PEG tubes can be used for months or years at a time. However, they may need to be changed if they break down or become clogged for an extended period of time. Your doctor can easily remove or replace a tube without the need of sedatives or anaesthetic, while sedation and endoscopy may be used in some circumstances. The topgastroenterologist in Nashik will use hard traction to remove the tube and either introduce a new tube or shut the opening if no replacement is required. When the tube is removed, the PEG sites seal quickly, thus any unintentional dislodgment must be addressed immediately.

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