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Percutaneous Endoscopic Gastrostomy Insertion in Children
WHAT YOU NEED TO KNOW:
Percutaneous endoscopic gastrostomy (PEG) insertion is a procedure to place a soft, plastic feeding tube into your child's stomach. Your child may need a PEG tube if he cannot get enough nutrition by eating his food. Liquid food can be given through the tube to give your child's body the nutrition it needs. The tube may also be used to remove air and fluid from your child's stomach.
WHILE YOU ARE HERE:
Before your child's procedure:
- Informed consent is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.
- An IV is a small tube placed in your child's vein that is used to give him medicine or liquids.
- Local anesthesia is a shot of medicine put into your child's abdomen. It is used to numb the area and dull the pain. Your child may still feel pressure or pushing during the procedure. He will also be given medicine in his IV to keep him calm and relaxed.
During your child's procedure:
- Your child's surgeon will insert the endoscope through your child's mouth, down his esophagus, and into his stomach. The light on the end of the endoscope may be seen through your child's abdomen. The light will help the surgeon find the best place to insert the PEG tube. He may inject air into your child's stomach so he can see clearly.
- The surgeon will make a small incision in your child's abdomen and insert a catheter with a wire through the opening and into his stomach. The wire will be guided up through the endoscope and into your child's mouth. The PEG tube will be attached to the wire and pulled down into your child's stomach. The surgeon will bring one end of the PEG tube out through the opening in your child's abdomen. The other end of the PEG will stay in your child's stomach and will be held in place with a piece of plastic or small inflated balloon. This will prevent it from coming out through the opening in his abdomen (stoma).
- Once your child's surgeon is sure the PEG tube is in the right place, the endoscope and wire will be removed. If his surgeon cannot use an endoscope, a PEG tube will be directly inserted into your child's stomach through the incision on his abdomen. The surgeon will use an ultrasound to find the right place to put the PEG tube in your child's stomach.
After your child's procedure:
Your child will be taken to a room to rest until he is fully awake. He will be monitored closely for any problems. Do not let your child get out of bed until healthcare providers say it is okay. He will then be taken to his room. Healthcare providers will show you how to care for your child's stoma and feed him through his PEG tube.
- The endoscopy may cause damage or bleeding in your child's esophagus, stomach, or abdomen. During or after the procedure, liquid from your child's stomach may get into his lungs and cause an infection. Your child's stoma and skin around it may be bruised and painful. Sores may form in the skin around his stoma, and tissue may grow over the PEG tube.
- The end of the PEG tube in your child's stomach may move out of place. The PEG tube may become blocked and it may crack, break, or leak. Your child's stomach may not empty into his intestines correctly. A fistula (abnormal tissue opening) may form between your child's skin and stomach or intestines. The stoma may become infected. The infection may spread to other areas of your child's body and become life-threatening.
CARE AGREEMENT:You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's healthcare providers to decide what care you want for your child.
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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.
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