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why would someone need a peg tube

by Soledad Kuhic MD Published 2 years ago Updated 2 years ago
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A percutaneous endoscopic gastrostomy (PEG) is a surgery to place a feeding tube. Feeding tubes, or PEG tubes, allow you to receive nutrition through your stomach. You may need a PEG tube if you have difficulty swallowing or can't get all the nutrition you need by mouth.Apr 19, 2021

Full Answer

Is a PEG tube the same as feeding tube?

A percutaneous endoscopic gastrostomy (PEG) is a surgery to place a feeding tube. Feeding tubes, or PEG tubes, allow you to receive nutrition through your stomach. You may need a PEG tube if you have difficulty swallowing or can't get all the nutrition you need by mouth. What is percutaneous endoscopic gastrostomy?

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. ...

How to give Meds through PEG tube?

  • Most medicines should be given in the gastric port (G-port). This is the port that goes to your child’s stomach. ...
  • Give the medicine using the gravity method.
  • If you are giving more than one (1) medicine, give each medicine by itself. Give a small amount of water through the feeding tube after each medicine. ...

What is a gas collecting tube used for?

Usually such a container has a gauged volume, has a cylindrical shape and is made of glass. Gas collecting tubes are used for science-related purposes; for taking samples of gases. Capacity of gas collecting tubes 150, 250, 350, 500 and 1.000 ml

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What conditions require a PEG tube?

It goes directly into the stomach. PEG feeding tube insertion is done in part using a procedure called endoscopy. 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.

When is a PEG tube indicated?

PEG tube is indicated in patients for long-term feeding (more than 30 days) with moderate-to-severe protein-calorie malnutrition. Clinically, the patient's realistic life expectancy and goals, diagnosis, and ethical preferences need to be considered and discussed with the patient and family to obtain informed consent.

How long can a PEG tube stay in?

A PEG tube lasts about 1 year. Replacing the old tube is usually a simple procedure that your healthcare provider can do without surgery or anesthesia.

Is a PEG feeding tube permanent?

Is a PEG tube permanent? Depends. If a patient starts feeling better and can start eating and drinking enough food and water, then the tube can be removed. If the patient is not able to do this, the tube can be used long-term..

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 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.

What is the life expectancy of a person with a feeding tube?

Patients who receive a percutaneous feeding tube have a 30-day mortality risk of 18%–24% and a 1-year mortality risk of 50%–63%. In a well-designed prospective study, Callahan et al. followed 150 patients with new feeding tubes and varied diagnoses, and found 30-day mortality of 22% and 1-year mortality of 50%.

Can you live a normal life with a feeding tube?

Some patients who have feeding tubes are in the hospital and may be very sick. And some individuals with long-term feeding tubes are living at home and can still maintain an active lifestyle.

Do you feel hungry with a feeding tube?

Will I get hungry? Will I feel full and satisfied? Tube feeding can give the sensation of fullness, the same way you would be affected by eating food. However, when the tube feed is administered continuously in small amounts over the course of a whole day, you may feel less of the sensation of fullness.

What kind of food is used in a feeding tube?

Foods that are popular for blending include sweet potatoes, bananas, quinoa, avocado, oats, nut and seed butters, chicken, yogurt, kefir, various grains, and milk (cow's, soy, almond, coconut, etc). Other liquids include water, broths, and juices.

What are the indications of gastrostomy?

Gastrostomy tube insertion may be recommended for: Birth defects of the mouth, esophagus, or stomach (esophageal atresia or tracheal esophageal fistula) Problems with sucking and/or swallowing, for example in patients debilitated by stroke or dementia.

Which is better PEG or NGT?

Conclusion: PEG is a better choice than NGT feeding due to the decrease in risk of pneumonia requiring hospital admission, particularly in patients with abnormal amounts of pooling secretions accumulation in the pyriform sinus or leak into the laryngeal vestibule.

How soon can you use a PEG tube after placement?

Enteral feeding through the percutaneous endoscopic gastrostomy (PEG) tube is usually initiated about 12 to 24 hours after insertion of the tube.

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

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.

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 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.

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.

Why do people use peg tubes?

What are the reasons for using a PEG feeding tube? 1 A PEG feeding tube can be used if you have difficulty with swallowing or have a problem that causes a risk of swallowed food going into your lungs rather than into your stomach. The possible causes of these problems include having a stroke or a condition that causes weakness of the muscles needed to make sure that all swallowed food ends up in the stomach rather than in the lungs. 2 A PEG feeding tube can also be used if normal feeding is not enough to provide all of the body's needs. Examples of this may be for people with cystic fibrosis or if you need to have dialysis for kidney failure. 3 PEG tubes may also be used for many other conditions such as bowel cancer, after a head injury, Crohn's disease or severe burns. 4 A PEG feeding tube may be used for children as well as adults. A child may need a PEG feeding tube for various conditions, including any condition that causes difficulty with swallowing.

When to use a peg tube?

PEG feeding is used if you have problems with swallowing or if you cannot eat or drink enough.

What is a PEG feeding tube?

A percutaneous endoscopic gastrostomy (PEG) feeding tube is a way to give food, fluids and medicines directly into the stomach by passing a thin tube through the skin and into the stomach.

How is the PEG tube inserted?

The PEG tube is usually inserted in the hospital endoscopy unit . Adults do not usually need to have a general anaesthetic but you will usually given an injection of a sedative to make you sleepy and relaxed. A local anaesthetic is used to numb the area of skin where the PEG tube is to be inserted. Children do need a general anaesthetic for the insertion of the PEG feeding tube.

How is the PEG tube managed after insertion?

You will be shown how to use the feeding tube by nurses while you are in hospital. You must make sure you're completely happy with using the tube, so ask about anything you're not sure about.

What is the difference between a percutaneous and endoscopic feeding tube?

Percutaneous means through the skin. Endoscopic means that a small , long , thin and flexible tube (endoscope) is used to position the PEG feeding tube into the stomach. Gastrostomy means making an opening into the stomach.

What are peg tubes used for?

PEG tubes may also be used for many other conditions such as bowel cancer, after a head injury, Crohn's disease or severe burns.

Why do people need peg tubes?

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 is a PEG tube?

A percutaneous endoscopic gastrostomy (PEG) is a surgery to place a feeding tube. Feeding tubes, or PEG tubes, allow you to receive nutrition through your stomach. You may need a PEG tube if you have difficulty swallowing or can't get all the nutrition you need by mouth.

What is the tube called that feeds the stomach?

These feeding tubes are often called PEG tubes or G tubes. The tube allows you to receive nutrition directly through your stomach. This type of feeding is also known as enteral feeding or enteral nutrition.

What are the risks of percutaneous endoscopic gastrostomy?

Possible risks of percutaneous endoscopic gastrostomy include: Accidental tube dislodgement (tube moving out of place or coming out). Aspiration (accidentally inhaling your stomach contents). Bleeding and perforation (hole in the wall of your bowel or intestine). Infection near the incision. Pain near the PEG tube.

What is the procedure to place a PEG tube?

Most healthcare providers place PEG tubes with endoscopic surgery. Endoscopic procedures use small incisions and a long, flexible instrument called an endoscope. On the day of surgery, you receive intravenous (IV) anesthesia and antibiotics. The anesthesia ensures that you remain calm and numb during the procedure.

How long does it take for a peg tube to heal?

Usually, your surgeon will give you instructions to remove the bandage after one to two days. After the area around your feeding tube heals, you’ll meet with a dietitian. This specialist explains how to use the PEG tube and starts you on enteral nutrition.

Why do we need feeding tubes?

Feeding tubes may also be useful if you have a condition that interferes with how your body processes nutrition. For example, you may benefit from a PEG tube if you have cystic fibrosis or receive dialysis for kidney failure. Someone in a coma may receive a PEG tube to help keep them alive.

What is a PEG tube?

It is a soft, plastic feeding tube that goes into your stomach. Liquid, such as formula, fluids, and medicines, can be put through the PEG tube if you cannot eat or drink all the nutrients you need. It can also be used to take air and fluid out of your stomach.

How do I take care of a PEG tube?

It may take up to four weeks for the skin around the PEG tube to heal.

How do I give myself medicine through a PEG tube?

You can give yourself medicine that is liquid or finely crushed and dissolved in water. Never mix medicines. Always flush the tube with a little water between each medicine and after the last medicine is given.

Will people know I have PEG tube?

A PEG tube is small and is hidden by your clothing. People will only know you have a PEG tube if you show them.

What happens if you get a peg tube in your lungs?

Infection in your lungs from liquid in your stomach getting into your lungs. Bruising, pain, and sores around your stoma. An infected stoma. The end of the PEG tube moving out of place. The PEG tube can get blocked, crack, break, and leak. Your stomach may not empty into your intestines.

How to get a peg tube out of your stomach?

Try to gently remove any drainage or crusting on the skin or tube. Then put a new bandage around the tube. Do not use any ointments, powders, or sprays around the PEG tube. Do not pull your PEG tube. It can move out of place or come out. Close your PEG tube and tape it to your stomach when you are not using it.

What is the name of the tube that is blown up on the end of the peg tube?

Your doctor will make a small incision (cut in your skin) and put the PEG tube in an opening in your stomach; this is called a stoma. A small balloon is blown up on the end of the PEG tube inside your stomach, and there is a small disc on the outside to hold it in place. Your health care team will put in an Intravenous catheter (IV) ...

What is a PEJ tube?

If a person’s nose or esophagus is not accessible or functioning properly, then the use of PEG or PEJ tube can be used. A PEG or PEJ provides nutrition through the abdomen wall. These types of tube feeds are also used for those who need a tube feed long term.

Why do people need tube feeds?

Certain medical conditions may require a tube feed. For example, when a person is having difficulty swallowing. Or when a person is unable to eat enough food by mouth.

What is a Feeding Tube?

A feeding tube is a way for someone to get nutrition from a liquid formula rather than through food. Tube feeds can be either short term or long term. Each situation is unique. And depends on what the individual may need.

How long does it take for a tube to feed?

Or when a person is unable to eat enough food by mouth. As previously mentioned, tube feeds can be either short term or long term. Short term is typically less than 4 weeks. And nasal tubes are most commonly used for this type of feeding.

How to receive a tube feed?

There are two ways to receive a tube feed. It can be either through the nose or abdomen. Feedings through the abdomen require surgical intervention. And these are typically for those who need a long term tube feed. The first three tube feeds listed below are inserted through the nose, and the last two are inserted through the abdomen (1).

Where is the nasal tube inserted?

Nasojejunal: A tube is inserted through the nose and ends in the second part of the small intestine called the jejunum.

Where are the first three tube feeds inserted?

The first three tube feeds listed below are inserted through the nose, and the last two are inserted through the abdomen (1). Nasogastric: A tube is inserted through the nose and ends in the stomach. Nasodudenal: A tube is inserted through the nose and ends in the first portion of the small intestine called the duodenum.

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.

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 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.

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 to keep a peg tube dry?

Keep the skin around your PEG tube dry. This will help prevent skin irritation and infection. Use topical medicines as directed. You may need to put antibiotic cream on the skin around your tube after you are done cleaning it.

When to use NG tube?

In some cases, when a person is unable to tolerate solid foods by mouth, an NG tube might be used to give nutrients. It can also be used to give medications , which can be really helpful for some medical situations.

What is NG tube?

A nasogastric (NG) tube is a flexible tube of rubber or plastic that is passed through the nose, down through the esophagus, and into the stomach. It can be used to either remove substances from or add them to the stomach.

How Is an NG Tube Placed?

An NG tube is placed by a doctor or a nurse. Usually, the procedure is done in the hospital. While there are instances when the doctor may need to put you to sleep to place the tube, most people are awake during the procedure.

What to do before NG tube surgery?

Before having surgery, discuss the NG tube with a surgeon to find out if one will be placed after surgery, or if there are any circumstances or complications that can arise that will mean an NG tube is needed.

How long do nasogastric tubes last?

It depends. Some tubes may need to be replaced every three days, while long-term nasogastric tubes can be left in place for four to six weeks after being inserted . 3

What happens if you put a NG tube in?

While most NG tubes are placed without any incident, there are some risks. One of the things that can happen while the tube is being inserted is an injury to the esophagus, throat, sinuses, or stomach. 2 It's possible that if an NG tube gets blocked or torn, or if it comes out of place, there can be further problems.

How long does a NG tube last?

An NG tube is temporary, so it will be in place only for as long as it's needed, which, in many cases, may be only a few days.

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1.What Are the Uses of a PEG Tube? - GoodRx

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