Gastroenterology

Percutan Endoscopic Gastrostomy (Peg)

Percutan Endoscopic Gastrostomy (PEG) is the procedure of inserting a flexible tube passed through the abdominal wall into the stomach as an alternative way to feed patients who cannot take food by mouth. This application allows solid-liquid foods and/or drugs to reach the stomach directly without passing through the esophagus. This method is especially suitable for feeding patients who have been hospitalized in intensive care units for a long time and whose swallowing reflex has been lost for any reason.

PEG is Applied To Who?

Patients who have difficulty in swallowing, have appetite problems, and are not fed enough orally can benefit from Percutan Endoscopic Gastrostomy. Considering these goals, the use of Percutan Endoscopic Gastrostomy tube covers a very wide patient group. Various examples of these diseases are given below.

Some obstructive tumors in the ear, nose, and throat area or originating from the esophagus and stomach.
Patients with dysphagia, inability to swallow after cerebrovascular stroke (stroke) or head trauma, and patients with a brain tumor, Parkinson’s disease, amyotrophic lateral sclerosis (ALS), cerebral palsy.
Long coma, polytrauma, extreme burnout in AIDS, short bowel syndrome, reconstructive facial surgery, Crohn’s disease, cystic fibrosis, chronic kidney failure
Another indication for the use of the PEG system is palliative drainage of gastric juices and secretions from the small intestine in chronic gastrointestinal obstructions.

Before PEG

Adult patients should fast for at least 8 hours before PEG system insertion. This period should be longer in cases with signs of a gastric motility disorder. Gastroscopy should be performed as a routine precaution before the PEG tube is inserted.

How is PEG Applied?

During endoscopy, your doctor creates a hole that reaches your stomach from your abdominal skin with the help of a wire and endoscope, which he/she will pass through a small incision on the abdominal skin under local anesthesia, and then insert the feeding tube into your stomach, which he/she will pass through this hole. Before the procedure, patients are given sedatives, local anesthetics, and antibiotics. The patient can be sent home the same day.

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