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Peg Tube Insertion

WHAT YOU NEED TO KNOW:

Percutaneous endoscopic gastrostomy (PEG) tube insertion is a procedure to place a soft, plastic feeding tube into your stomach. You may get nutrition or medicine through the tube. The tube may also be used to remove air and fluid from your stomach.

DISCHARGE INSTRUCTIONS:

Call your local emergency number (911 in the US) for any of the following:

  • You have sudden trouble breathing.
  • Your heart is beating much faster than usual.

Call your doctor or gastroenterologist if:

  • You vomit blood, or your bowel movements are bloody or black.
  • You have sudden abdominal pain and dizziness.
  • Your stoma, or the skin around it, is bright red, swollen, and has blisters.
  • Your stomach becomes tight, hard, sore, or swollen.
  • You have diarrhea leaking around your tube.
  • Your bowel movements look like the liquid food you use.
  • You have increased stoma drainage, or your stoma is bleeding.
  • You have a fever.
  • The skin around your stoma is red, swollen, or draining pus.
  • Your PEG tube feels tight against your skin.
  • The skin around your stoma breaks down, skin grows over your tube, or your stoma gets larger.
  • You have leakage around your PEG tube, or your formula will not enter the tube and spills out.
  • You cannot move your PEG tube, the tube comes out, or the tube cracks or breaks.
  • You have nausea or are vomiting, or you cannot have a bowel movement.
  • You have questions or concerns about your condition or care.

Medicines:

  • Medicines can help decrease how much acid your stomach makes.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Self-care:

  • Change the bandage around your PEG tube the morning after your procedure, as directed. The PEG tube site may take up to 4 weeks to heal. While the site heals, turn the PEG tube to prevent tissue from growing over it.
  • Prevent an infection. Always wash your hands before you care for the area around your PEG tube. Use soap and running water. Dry your hands with a clean towel or a paper towel. Anyone caring for your PEG tube should wash his or her hands first.
    Handwashing
  • Arrange your feeding schedule. Time your feedings to make sure you get enough sleep. Tell your healthcare provider if the PEG tube makes it hard for you to sleep.
  • Carry pads or absorbent cloths with you in case your PEG tube leaks. You may also want to bring a change of clothing.

Follow up with your doctor or gastroenterologist as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.