Peg Tube Insertion. Mild sedation is typicall. Percutaneous endoscopic gastrostomy peg is a surgical procedure for placing a tube for feeding without having to perform an open operation on the abdomen laparotomy. It is used in patients who will be unable to take in food by mouth for a prolonged period of time. The peg procedure is an alternative to open surgical gastrostomy insertion and does not require a general anesthetic.
Enteral nutrition is generally preferable to parenteral nutrition. Active coagulopathies and thrombocytopenia platelet count less than 50 x 10 9 l must be corrected before tube insertion. Anything that precludes endoscopy such as haemodynamic compromise sepsis or a perforated viscus. It is used in patients who will be unable to take in food by mouth for a prolonged period of time. Percutaneous endoscopic gastrostomy is an endoscopic medical procedure in which a tube is passed into a patient s stomach through the abdominal wall most commonly to provide a means of feeding when oral intake is not adequate. Mild sedation is typicall.
The j tube jejunostomy tube on the other hand is a soft plastic tube placed through the skin of the abdomen into the mid section of the small intestine the jejunum.
Absolute contra indications for use of peg in adults. You may get nutrition or medicine through the tube. During the peg tube placement procedure a physician places an endoscope a long thin flexible instrument about 1 2 inch in diameter into your mouth. Enteral nutrition is generally preferable to parenteral nutrition. Active coagulopathies and thrombocytopenia platelet count less than 50 x 10 9 l must be corrected before tube insertion. This technique was first described by gauderer in 1980.