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PEG-MINIMALLY INVASIVE GASTROSTOMY

PEG stands for percutaneous endoscopic gastrostomy - a procedure by which food is provided by placing a tube directly into the stomach. It is safe and effective, aided by endoscopy and one of the most common procedures performed for individuals whose oral intake is inadequate and for patients who have difficulty swallowing. The procedure is done to provide the patient with adequate nutrition.

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Indications for PEG placement

  • Inability to move the food from the mouth into the stomach
  • Having neurological disorders such as stroke, cerebral palsy, brain injury etc. and have difficulty swallowing
  • Patients with trauma, Cancer and a recent upper gastrointestinal surgery

PEG Procedure at Dr. Jacob’s Hospital

  • Patient will be told to fast for at least 6 hours before the procedure
  • Intravenous sedation or local anaesthesia and an antibiotic may be given prior to the surgery
  • An endoscope is passed through the mouth and under visual guidance from inside the stomach the tube or catheter is passed into the stomach through the skin and secured
  • The PEG site is covered with a dressing that is generally removed after a couple of days
  • Instructions are given to clean the site once a day with diluted soap and water

PEG Feeds are given

  • Special liquid foods and nutrition are provided through the tube.
  • Where the PEG is placed following a stroke and patient experiences difficulty swallowing restrictions on oral food intake may still be applicable.
Duration of the tubes
  • PEG tubes may be placed for months or years
  • For longer durations, they may have to be replaced from time to time
  • The tubes can be easily removed and placed with sedation
  • ‘Firm traction’ may be used to remove the tube and insert a new tube
  • When the tube is not required the opening is left to heal
  • PEG sites close real quick once the tube is removed

At Jacob’s Hospital, Kochi medical professionals are well-trained in the painless placement and removal of PEG tubes.

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