Percutaneous Endoscopic Gastrostomy Procedure Johannesburg

PROCEDURES

PEG Insertion

What is PEG insertion?

Percutaneous Endoscopic Gastrostomy (PEG) feeding tube insertion involves placing a feeding tube through the skin directly into the stomach wall. This procedure is performed using endoscopy, which is a less invasive surgical method. Feeding tubes help deliver essential nutrients when you are unable to eat or drink. You may need a PEG tube after a stroke, traumatic brain injury, problems with the oesophagus, difficulty swallowing, surgery of the neck or head, or other related conditions.

What can I expect during PEG insertion?

Endoscopic surgery, which is less invasive than traditional surgery, is used to insert the feeding tube. The procedure involves making small incisions and using a flexible, lighted scope with a camera (endoscope).

On the day of the procedure, you will receive intravenous antibiotics to reduce the risk of infection and anaesthesia to ensure you do not feel pain. A local anaesthetic may also be used to numb the area around the incision. A small incision is made in the upper abdomen, and the doctor carefully inserts the feeding tube through this opening and attaches it to the stomach.

What can I expect after a percutaneous endoscopic gastrostomy (PEG)?

After the procedure, it is normal to experience some pain at the incision site, which can be managed with appropriate care. You may also have cramping due to gas in the digestive system. This pain and discomfort usually resolve within 24 to 48 hours. Once the area around the PEG tube has healed, you will meet with a dietitian who will provide detailed instructions on using the feeding tube for nutrition.

PEG tubes can function for several months or, in some cases, years. Over time, the tube may become worn or clogged. Signs of tube wear include bumps, leaks, or indentations on the tube.

For more information about PEG tube insertion or to schedule a consultation, please contact the practice.