- Attach the tube to the feeding bag with a clamp.
- Fill the bag with the formula.
- Allow the formula to fill the tubing by unclamping the tube.
- Program the pump and connect the feeding bag connector to the PEG tube’s feeding port.
- Remove all clamps and turn on the pump.
- When the feeding is finished, disconnect.
How do you feed through a PEG tube?
Using your PEG tube
- Bolus feedings. Formula is given in a short period of time (10 – 20 minutes). This method is also used to give medications or extra fluid.
- Continuous feedings. Formula is given slowly over a long period of time (8 to 24 hours). ...
- Giving medications by the PEG tube. Set out the correct dose of medicine to put into the PEG tube. ...
Is a PEG tube and J tube the same?
The endoscopic approach to place a J tube is similar to the one used for the PEG tube. The difference is that the doctor uses a longer endoscope to enter into the small bowel for J tube placement. How should I care for my percutaneous gastrostomy/jejunostomy tube at home?
Is PEG tube placement a major surgery?
Percutaneous endoscopic gastrostomy ( PEG) tube placement procedure is not a major surgery. It does not involve opening the abdomen. You will be able to go home the same day or the next day after the surgery unless you are admitted for some other reasons. What is PEG tube placement?
What are the complications of PEG tube removal?
- Small bowel obstruction from a small bowel wallhematoma following PEG placement. ...
- Intrahepatic placement of a PEG tube. ...
- Herniation of the stomach through a PEG tube fistula site. ...
- Abdominal wall pain can occur and persist after PEGplacement. ...
How do they put a feeding PEG in?
How is the PEG performed? Your doctor will use a lighted flexible tube called an endoscope to guide the creation of a small opening through the skin of the upper abdomen and directly into the stomach. This procedure allows the doctor to place and secure a feeding tube into the stomach.
Is insertion of PEG tube painful?
A PEG tube is painful initially, but the pain will resolve with time (7-10 days). The tube is not easily visible when wearing clothes. When not in use, they can simply be taped to the patient's abdomen to prevent them from moving around under clothing.
Is PEG tube placement a major surgery?
Percutaneous endoscopic gastrostomy (PEG) tube placement procedure is not a major surgery. It does not involve opening the abdomen. You will be able to go home the same day or the next day after the surgery unless you are admitted for some other reasons.
How long does it take to insert a PEG?
The procedure usually takes about 20-30 minutes. During the exam, there is often a feeling of pressure in the abdominal area. Your physician may give you medication to help you relax and better tolerate the exam.
How long does it take to heal from a PEG tube placement?
The skin should heal in 2 to 3 weeks. You will need to clean the skin around the PEG-tube 1 to 3 times a day. Use either mild soap and water or sterile saline (ask you provider). You may use a cotton swab or gauze.
Is PEG a high risk procedure?
According to the recommendations of the American Society for Gastrointestinal Endoscopy, thrombocyte aggregation inhibitors such as acetylsalicylic acid or ticlopidine are relative contraindications for PEG, while anticoagulants such as clopidogrel and phenprocoumon/warfarin make PEG a high-risk procedure (2,3).
Can you eat food with a PEG tube?
Can I eat and drink by mouth with a PEG tube? After tube placement, most people receive fluids and liquid nutrition through the tube. People who need PEG tubes because of swallowing problems have restrictions on eating and drinking by mouth. Some people may still eat and drink small amounts through the mouth.
What are the disadvantages of a PEG?
Peristomal leakage or infection. Skin or gastric ulceration. Blocked PEG tube. Tube degradation....ComplicationsHaemorrhage or perforation.Aspiration.Oversedation.
Can you walk with a PEG tube?
Tube feeding doesn't need to keep you from most physical activities. You can run or walk, but talk to your doctor about yoga or other exercises that work your abdomen muscles. Even swimming is fine if your incision site has healed and the water is clean.
Can you take a shower with a PEG tube?
You may shower 24-48 hours after tube placement. You may bathe after your PEG tube check-up appointment typically 7–10 days after tube placement, if your physician gives the OK. Check the markings at the base of the tube daily and as needed.
What is the difference between a feeding tube and a PEG tube?
A PEG is a feeding tube that is placed into your stomach (see Figure 1, left). If the tube can't be placed into your stomach, you may have a PEJ tube placed instead (see Figure 1, right). A PEJ tube is placed in your jejunum, which is the second part of your small intestine.
When can you start eating after a PEG tube placement?
Abstract. Enteral feeding through the percutaneous endoscopic gastrostomy (PEG) tube is usually initiated about 12 to 24 hours after insertion of the tube. There have been earlier studies evaluating the efficacy of early initiation of enteral feedings that had encouraging results.
Does a feeding tube in your stomach hurt?
The tube can put liquid nutrition, fluid, and medicines directly into your stomach. The tube also may be used to drain liquid or air from the stomach. Your belly may feel sore, like you pulled a muscle, for several days.
When can you start eating after a PEG tube placement?
Abstract. Enteral feeding through the percutaneous endoscopic gastrostomy (PEG) tube is usually initiated about 12 to 24 hours after insertion of the tube. There have been earlier studies evaluating the efficacy of early initiation of enteral feedings that had encouraging results.
Is PEG tube placement an outpatient procedure?
The first way, called percutaneous endoscopic gastrostomy (PEG) tube placement, is an outpatient procedure performed under mild sedation and a local anesthetic. Your doctor will guide a flexible endoscope through your mouth and into your stomach.
Does it hurt to have PEG tube removed?
Some patients get better and do not need their feeding tube anymore. Once your doctor determines it is safe to remove the tube you will be scheduled for a quick removal procedure. Removing the tube is simple and relatively painless. The doctor will deflate the balloon holding the tube in place.
How Do I Use The Peg Tube?
Your healthcare provider will tell you when and how often to use your PEG tube for feedings. You may need a bolus, intermittent, or continuous feed...
How Do I Care For My Peg Tube?
1. Always flush your PEG tube before and after each use. This helps prevent blockage from formula or medicine. Use at least 2 tablespoons (30 milli...
How Do I Care For The Skin Around My Peg Tube?
1. Do not remove the stitches or medical tape that hold your PEG tube in place when you first get it. Your healthcare provider will take them off o...
What Else Do I Need to Know About A Peg Tube?
1. You may need to keep track of how much formula and other liquids you have each day. You may also need to keep track of how much you urinate and...
When Should I Seek Immediate Care?
1. You start coughing or vomiting during or after a feeding. 2. You have severe abdominal pain. 3. Blood or tube feeding fluid leaks from the PEG t...
When Should I Contact My Healthcare Provider?
1. You have nausea, diarrhea, or abdominal bloating or discomfort. 2. You have stomach pain after each feeding or when you move around. 3. You have...
How do I use a PEG tube for feedings?
Your healthcare provider will tell you when and how often to use your PEG tube for feedings. A bolus feeding means nutrition is given over a short period of time. An intermittent feeding is scheduled for certain times throughout the day. Continuous feedings run all the time. The following are types of PEG tube systems:
What else do I need to know about a PEG tube?
Keep a record of liquids you have each day. You may also need to keep a record of how much you urinate and how many times you have a bowel movement each day. Bring this record to your follow-up visits.
What do I need to know about a percutaneous endoscopic gastrostomy (PEG) tube?
A PEG tube is a soft, plastic feeding tube that goes into your stomach. Healthcare providers will teach you how to put liquid food and certain medicines through the tube. You will also be taught how to care for the PEG tube and the skin where the tube enters your body.
How do I care for the skin around my PEG tube?
Your healthcare provider will take them off once the skin around your tube heals. Leave clean bandages over the tube area for the first 24 hours after the tube is put in. You may not need to use bandages after 24 hours if the skin around the tube looks dry. Ask when you can shower or bathe.
How to unclog a peg tube?
Use at least 30 milliliters (mL) of water to flush the tube. Follow directions for flushing your PEG tube. If your PEG tube becomes clogged, try to unclog it as soon as you can. Flush your PEG tube with a 60 mL syringe filled with warm water. Never use a wire to unclog the tube.
What is intermittent feeding?
An intermittent feeding is scheduled for certain times throughout the day. Continuous feedings run all the time. The following are types of PEG tube systems: A feeding syringe helps liquid food to flow steadily into the PEG tube. The syringe is connected to the end of the PEG tube.
How does a syringe work?
The syringe is connected to the end of the PEG tube. You will pour the liquid into the syringe and hold it up high. The syringe plunger may be used to gently push the last of the liquid through the PEG tube. A gravity drip bag allows liquid food to drip more slowly into the PEG tube.
How are NG tubes inserted?
NG tubes are thin and are inserted into a nostril, then threaded through the esophagus and into the stomach. The outer portion is generally kept in position with tape that is placed on the nose. NG tubes can become clogged, requiring replacement with a new tube every few days, but they are easy to remove.
What is given before a PEG?
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. 1
What is a percutaneous endoscopic gastrostomy?
A percutaneous endoscopic gastrostomy is a procedure in which a flexible feeding tube, called a PEG tube, is inserted through the abdominal wall and into the stomach. For patients who are not able to swallow food on their own, a PEG tube allows nutrition, fluids, and medications to be delivered directly into the stomach, ...
How long does an orogastric tube last?
This tube can remain in place for up to two weeks, when it must be removed or replaced with a permanent tube.
What are the different types of feeding tubes?
Other Types of Feeding Tubes. There are three other types of feeding tubes in addition to the PEG tube. These include: Nasogastric tube (NG tube): This is among the least invasive types of feeding tubes and is only used temporarily. NG tubes are thin and are inserted into a nostril, then threaded through the esophagus and into the stomach.
Why do people need feeding tubes?
Some common reasons why a person would need a feeding tube include: 3. Trouble swallowing due to weakness or paralysis from a brain injury or a stroke.
Why is a feeding tube used?
It is mainly used for people whose stomach cannot effectively move food down into the intestine due to weakened motility. 5. If a person cannot eat and a feeding tube is not an option, then fluids, calories, and nutrients needed to survive are provided intravenously.
What is a PEJ tube?
This information will help you get ready for your procedure to have a percutaneous endoscopic gastrostomy (PEG) feeding tube or a percutaneous endoscopic jejunostomy (PEJ) feeding tube placed at Memorial Sloan Kettering (MSK).
What is the procedure that puts a feeding tube in your stomach?
The tube is placed during an endoscopy (a procedure that lets your doctor see inside your stomach and small intestine). Figure 1. PEG tube placement (left) and PEJ tube placement (right) The feeding tube will give you nutrients if you’re not able to get enough through eating and drinking.
How long after a peg can you shower?
You can shower 48 hours after your procedure. Don’t take tub baths or go swimming for 2 weeks after your procedure. You may see dark green or yellow drainage around your PEG or PEJ site. A small amount of green or yellow drainage is normal.
When to start caring for skin around tube?
On the third day after your procedure, begin a daily routine of caring for the skin around your tube while showering.
Can you use a PEJ tube for nutrition?
You will use the tube to give yourself enough nutrition to meet your needs. If you need long-term nutrition support, your doctor may convert your PEG into a low-profile gastrostomy button into your stomach (see Figure 2). Your doctor may convert your PEJ into a low-profile jejunostomy button into your small intestine.
What are the parts of a peg tube?
Here are the important parts of your PEG tube: PEG/Gastronomy feeding tube . 2 small discs that are on the outside and the inside of the gastrostomy opening (or stoma) in your stomach wall. These discs prevent the feeding tube from moving. The disc on the outside is very close to the skin. A clamp to close off the feeding tube.
Why do you need a peg tube?
Feeding tubes are needed when you are unable to eat or drink. This may be due to stroke or other brain injury, problems with the esophagus, surgery of the head and neck, or other conditions. Your PEG tube is easy to use.
What is the button device in gastrostomy?
It is there when there is a balloon instead of an internal disc). After you have had your gastrostomy for a while and the stoma is established, something called a button device can be used. These make feedings and care easier. The tube itself will have a mark that shows where it should be leaving the stoma.
What happens if a feeding tube comes out?
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.
How long does it take for a peg tube to heal?
Drainage from around the PEG tube is common for the first 1 or 2 days. The skin should heal in 2 to 3 weeks. You will need to clean the skin around the PEG-tube 1 to 3 times a day. Use either mild soap and water or sterile saline (ask you provider). You may use a cotton swab or gauze.
What is the disc on the outside of a feeding tube?
The disc on the outside is very close to the skin. A clamp to close off the feeding tube. A device to attach or fix the tube to the skin when not feeding. 2 openings at the end of the tube. One is for the feedings or medicines, the other for flushing the tube. (There may be a third opening on some tubes.
What is the mark on a tube?
The tube itself will have a mark that shows where it should be leaving the stoma. You can use this mark whenever you need to confirm the tube is in the correct position.
