A surgical opening into the stom ach. This opening may be
used for feeding usually via a feeding tube called a gastrostomy tube. This can
also be done by percutaneous endoscopic gastrostomy (PEG). PEG is a surgical procedure
for placing a feeding tube but does not necessitate doing an open laparotomy (operation
on the abdomen). The aim of PEG (as with any gastrostomy) is to feed those who cannot
swallow. PEG may be done by a. surgeon, otolaryngologist (ENT specialist) or gastroenterologist
(GI specialist). It is done in a. hospital or outpatient surgical facility. Local
anesthesia (usually lidocaine or another spray) is used to anesthetize the throat.
An endoscope (a flexible, lighted instrument) is passed through the mouth, throat
and esophagus to the stomach. The surgeon then makes a small incision (cut) in the
skin of the abdomen and pushes an intravenous cannula (an IV tube) through the skin
into the stomach and sutures (ties) it in place. The patient can usually go home
the same day or the next morning. Possible complications include wound infection
(as in any kind of surgery) and dislodging or malfunction of the tube. Percutaneous
endoscopic gastrostomy may be a mouthful (as a term) but it describes the procedure
accurately. A gastrostomy (a surgical opening into the stomach) is made percutaneously
(through the skin) using an endoscope to put the feeding tube in place. PEG, when
feasible, takes less time, carries less risk and costs less than a classic surgical
gastrostomy which requires opening the abdomen.
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