Percutaneous gastrostomy - Insertion of a gastric feeding tube ( PEG ) is a medical procedure that allows nutrition to be delivered directly to the stomach, in cases where the patient is unable to eat or swallow by mouth.
The procedure is performed via an endoscopic approach, using advanced equipment, and provides a long-term solution for safe and effective feeding.
Procedure description
Insertion of a gastric feeding tube using an endoscopic approach - PEG
What is a PEG procedure?
PEG ( Percutaneous Endoscopic Gastrostomy ) is a procedure in which a feeding tube is inserted through the abdominal wall directly into the stomach, using an endoscope – a thin, flexible tube with a tiny camera at the end.
The procedure is considered safe, has a high success rate, and is usually performed under local anesthesia with sedation.
When is it necessary to insert a gastric feeding tube?
The need for a PEG increases when there is significant difficulty or inability to swallow over time, whether as a result of illness, injury, or a chronic medical condition. Common conditions include:
- Neurological diseases (such as ALS , Parkinson's, stroke) that cause swallowing disorders.
- Tumors or blockages in the esophagus or pharynx.
- Traumatic injuries to the head or neck.
- Medical conditions that require prolonged nutritional support.
Advantages of the endoscopic approach procedure
- Minimally invasive procedure - no need for open surgery.
- Short execution time - usually between 20 - 30 minutes.
- Rapid recovery - the patient can return to normal life in a short time.
- Improved quality of life - allows for easy access to complete nutrition, fluids, and medications.
- Fewer complications compared to traditional surgical methods.
Insertion of a PEG gastric feeding tube
Test preparation
Preparation for treatment
Preliminary tests, fasting for several hours before the operation.
Sedation and local anesthesia – for comfort and safety.
Endoscopic examination – inserting the endoscope through the mouth into the stomach, to locate the entry point.
Creating an opening in the abdominal wall – depending on the chosen location.
Inserting a PEG tube – connecting it and ensuring its stability.
Completion of the operation and training – explanation to the patient and family members about use and maintenance.
Possible risks
As with any medical procedure, inserting a PEG tube may involve risks, although they are rare:
- Infection at the insertion site
- Local bleeding
- Pipe displacement
- Reaction to medication for blurring
The risk is reduced when the operation is performed by trained staff and in an experienced medical center.
Insertion of a PEG gastric feeding tube
After treatment
After checking
Maintaining daily hygiene of the tube area.
Rinse the hose after each use.
Periodic medical monitoring.
Replacing the tube according to the doctor's recommendation (usually every few months).
Why choose us to perform PEG ?
Dr. Wasko and the clinic team perform the insertion of a gastric feeding tube using an endoscopic approach using advanced equipment, while ensuring safety, patient comfort, and minimal complications. We accompany the patient throughout the entire process – from diagnosis to follow-up after the procedure.
summary
PEG – Insertion of a gastric feeding tube is a life-saving procedure in situations where normal feeding is not possible. Thanks to modern endoscopic technology, the procedure can be performed safely, quickly and efficiently, while significantly improving the patient's quality of life.
Insertion of a gastric feeding tube using an endoscopic approach - PEG
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