Definition of Percutaneous endoscopic gastrostomy (PEG)
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Percutaneous endoscopic gastrostomy (PEG) Main Article
provides a comprehensive look at the who, what, when and how of Percutaneous endoscopic gastrostomy (PEG)
Percutaneous endoscopic gastrostomy
(PEG) definition - medical term
A surgical procedure for placing a feeding
tube without having to perform an open laparotomy
(operation on the abdomen). The aim of PEG 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. 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
takes less time, carries less risk and costs less than a
classic surgical gastrostomy which requires opening the
abdomen.
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