If you think the skin may be infected or if you have any concerns then you should contact your nurse or your GP. Most people don't have any problems as a result of having a PEG tube inserted, apart from some discomfort for the first few hours after the insertion. However, minor problems can occur, such as infection around the skin where the tube has been inserted or some leakage from the site of the tube. Sometimes the site where the tube passes through your skin will be uncomfortable with some pain for up to one week after the insertion.
This may make you reluctant to take deep breaths but it is very important to breathe as normally as possible. This is because taking shallow breaths may increase your risk of a chest infection.
For most people with a PEG feeding tube there are no problems when the tube is inserted and no problems with having the tube. However, the outlook prognosis will depend on the underlying medical condition. Nutrition support in adults: oral nutrition support, enteral tube feeding and parenteral nutrition ; NICE Clinical Guideline Guidelines for caring for an infant, child, or young person who requires enteral feeding ; Guidelines Audit and Implementation Network Feb Rev Esp Enferm Dig.
Hi, Has anyone here had vitamin A deficiency? What symptoms did you have besides the obvious trouble with sight? Were your blood tests in normal range? Prior to the PEG placement procedure, you will be given an intravenous sedative and local anesthesia around the incision site. You may also receive an IV antibiotic to prevent infection. The healthcare provider will then put a lighted, flexible tube called an endoscope down your throat to help guide the actual tube placement through the wall of the stomach.
A small incision is made, and a disc is placed on the inside as well as the outside of the opening in your abdomen; this opening is known as a stoma. The part of the tube that is outside the body is 6 to 12 inches long. The entire procedure takes about 20 to 30 minutes. You are usually able to go home the same day. Once the procedure is finished, your surgeon will place a bandage over the incision site. You will probably have some pain around the incision area right after the procedure, or have cramps and discomfort from gas.
There may also be some fluid leakage around the incision site. These side effects should decrease within 24 to 48 hours. Typically, you can remove the bandage after a day or two.
Your healthcare provider will tell you when it is OK to shower or bathe. It takes time to adjust to a feeding tube. If you need the tube because you are not able to swallow, you will not be able to eat and drink through your mouth. Rarely, people with PEG tubes can still eat via the mouth. Products designed for tube feeding are formulated to provide all the nutrients you'll need. When you're not using it, you can tape the tube to your belly using medical tape. The plug or cap on the end of the tube will prevent any formula from leaking onto your clothes.
After the area around your feeding tube heals, you'll meet with a nutritionist or dietitian who will show you how to use the PEG tube and start you on enteral nutrition. Here are the steps you will follow when using your PEG tube:. Having a PEG tube comes with the risk of certain complications. In some instances, it can be hard to decide whether giving a person a feeding tube is the right thing to do and what the ethical considerations are.
Examples of these situations include:. If you or your loved one has a serious illness that prevents eating by mouth, a PEG tube can temporarily, or even permanently, provide calories and nutrients for the body to heal and thrive.
PEG tubes can last for months or years. If necessary, your healthcare provider can easily remove or replace a tube without sedatives or anesthesia, by using firm traction. Once the tube is removed, the opening in your abdomen closes quickly hence if it falls out accidentally, you should call your healthcare provider immediately. Possible complications include pain at the PEG site, leakage of stomach contents around the tube site, and dislodgment or malfunction of the tube.
Possible complications include infection of the PEG site, aspiration inhalation of gastric contents into the lungs , bleeding and perforation an unwanted hole in the bowel wall. Your doctor can describe for you symptoms that could indicate a possible complication. PEG tubes can last for months or years. However, because they can break down or become clogged over extended periods of time, they might need to be replaced.
Your doctor can easily remove or replace a tube without sedatives or anesthesia, although your doctor might opt to use sedation and endoscopy in some cases. Your doctor will remove the tube using firm traction and will either insert a new tube or let the opening close if no replacement is needed. PEG sites close quickly once the tube is removed, so accidental dislodgment requires immediate attention. For the first 1 to 2 weeks, you provider will likely ask you to use sterile technique when caring for your PEG-tube site.
Your health care provider may also want you to put a special absorbent pad or gauze around the PEG-tube site. This should be changed at least daily or if it becomes wet or soiled. If the feeding tube comes out, the stoma or opening may begin to close. To prevent this problem, tape the tube to your abdomen or use the fixation device.
A new tube should be placed right away. Call your provider for advice on next steps. Your provider can train you or your caregiver to rotate the gastrostomy tube when you are cleaning.
This prevents it from sticking to the side of stoma and opening leading to the stomach. Gastrostomy tube insertion-discharge; G-tube insertion-discharge; PEG tube insertion-discharge; Stomach tube insertion-discharge; Percutaneous endoscopic gastrostomy tube insertion-discharge.
Samuels LE. Nasogastric and feeding tube placement. Philadelphia, PA: Elsevier; chap Percutaneous endoscopic gastrostomy placement and replacement. In: Fowler GC, ed. Pfenninger and Fowler's Procedures for Primary Care.
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