Gastrostomy Tube Placement
What is a gastrostomy?
When is it used?
What happens during the procedure?
The procedure is performed in two basic ways. The first way, called percutaneous endoscopic gastrostomy (PEG) tube placement, is an outpatient procedure performed under mild sedation and a local anesthetic. Your doctor will guide a flexible endoscope through your mouth and into your stomach. An endoscope is a long, narrow tube with a camera and light on the end of it. It lets your doctor look into the inside of your stomach. Your doctor will fill your stomach with air to make it bigger. He or she will guide a needle through your skin and abdominal wall and into your stomach. The doctor then will place a wire through the needle, retrieve it with the endoscope and bring it out the mouth. The doctor will thread a tapered plastic tube over the wire through your mouth and pull it through the small hole in your abdomen. He or she will secure the tube to your skin.
The second approach, open or surgical gastrostomy, is performed in the operating room, usually under a general anesthetic. This puts you to sleep, relaxes your muscles, and keeps you from feeling pain. The surgeon will make a small incision in your upper abdominal wall and expose your stomach. Then he or she will make a cut through the wall of your stomach and place a tube through the skin into the stomach. The surgeon will then sew up the incision on your abdominal wall and fix the tube to the skin.
What happens after the procedure?
What are the benefits of this procedure?
What are the risks associated with this procedure?
When should I call the doctor?
Call the doctor at Emory immediately if:
- The tube comes out — it must be replaced within a few hours.
- You think the tube is becoming blocked.
- You are unable to take food through the tube.
- You have a lot of drainage around the tube.
- You have increasing pain, redness or swelling near the tube.
Call the doctor during office hours if:
- You have questions about the procedure or its result.
- You want to make another appointment.