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Percutaneous endoscopic gastrostomy, or PEG Placement treatment in Bangalore, is a procedure that involves inserting a flexible feeding tube through the abdominal wall and into the stomach. Endoscopy is a technique used in part for inserting PEG feeding tubes. When the patient is unable to eat or drink, feeding tubes are required. If you have trouble swallowing or can't get all the nutrition you need through the mouth, you might need a PEG tube.
Why would one need a PEG tube?
A PEG tube may be beneficial if the patient has trouble swallowing (dysphagia). Dysphagia may result from the following,
Brain injury.
Head and neck cancer.
Stroke.
Severe illnesses like cancer that cause a persistent loss of appetite.
Feeding tubes may also be helpful if you suffer from a condition that affects how your body processes food. For instance, a PEG tube might be helpful if you have cystic fibrosis or get dialysis for kidney failure. A PEG tube may also be provided to patients in a coma to keep them alive.
Before procedure
The surgeon will meet with you to review the surgery before it is performed. You must inform your doctor if you have any heart conditions, bleeding risks, or medication allergies. You might need to change your medication depending on your health and underlying conditions. The medical team might suggest alterations to,
Insulin dosage.
Blood thinners, such as warfarin.
Nonsteroidal anti-inflammatory drugs, such as aspirin.
At least eight hours before the procedure, avoid eating or drinking. Additionally, you must also plan a way to get home after surgery since you won't be able to go home alone.
Procedure
PEG tubes are typically implanted during endoscopic surgery. Small incisions and an endoscope, a long, flexible instrument, are used during endoscopic procedures. You will be given intravenous (IV) anaesthesia and antibiotics on the day of the procedure. The anaesthesia makes sure that you are unconscious and unperturbed throughout the procedure.
The use of antibiotics avoids any infection during the procedure. A local anaesthetic might also be used on you, and a numbing drug is injected as a local anaesthetic. This injection is given to you close to the incision made during the procedure.
The healthcare professional will then,
Make a small incision in your upper abdomen during the procedure.
They will then insert the tube through the incision.
After that, the surgeon will connect the tube to your stomach.
It only takes 20 to 30 minutes to complete the whole procedure. You can typically leave the hospital on the same day or early the next morning.
After procedure
After the procedure, you'll experience some discomfort and pain. It can be caused due to the incision or your stomach cramping due to gas buildup. Within 24 to 48 hours, this pain should ideally subside. A bandage will be placed on top of the incision site. For up to 48 hours, you might notice some drainage around the incision.
Typically, after one to two days, the medical professional will instruct you on how to remove the bandage. You'll need to see a dietitian after the area around your feeding tube has healed. This specialist will start you on enteral nutrition and explain how to use the PEG tube.
Risks and complications involved
Some of the common risks and complications associated with the procedure are,
Infection near the incision.
Accidental tube dislodgement (tube moving out of place or coming out).
Aspiration (accidentally inhaling your stomach contents).
Bleeding and perforation (hole in the wall of your bowel or intestine).
Experiencing pain near the PEG tube.
Stomach leakage around the tube.
Your healthcare provider will go over the signs of a PEG tube complication and when you should seek treatment. To reduce your risk of complications, you should clean your PEG tube daily. Consult with a team of experts at Manipal Hospitals now.
