Percutaneous Endoscopic Gastrostomy
Michael Jubinville, MPH
Percutaneous endoscopic gastrostomy (PEG) is a procedure to place a tube through the belly wall and into the stomach.
Reasons for Procedure TOP
A PEG gives you a different way to get nutrients. It may be needed to:
Possible Complications TOP
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems such as:
Your chances of problems are higher for:
What to Expect TOP
Prior to Procedure
You may have:
Leading up to your procedure:
Description of the Procedure TOP
An endoscope will be inserted through your mouth and into your stomach. The camera will send images to a video monitor. This will help find the right place for the PEG tube.
A needle will be placed through the belly wall and into the stomach. A thin wire will be passed from the outside of the body, through a needle, and into the stomach. This wire will be grasped with a snare in the belly and pulled out through the mouth. There will be a thin wire from the front of the belly, going into the stomach, and continuing up and out of the mouth. The PEG feeding tube will then be attached to this wire. The wire will be pulled back out from the belly. This will pull the PEG tube down into the body.
A small cut will be made in the belly. The tube will be pulled until the tip comes out from this cut. A soft, round bumper will be attached to the ends of the PEG tube. It will keep the tube secure. Germ-free gauze will be placed around the wound. The PEG tube will be taped to the belly.
How Long Will It Take? TOP
Will It Hurt? TOP
Anesthesia will prevent pain during surgery. Medicines will ease pain afterwards.
Average Hospital Stay TOP
You may need an overnight stay. If you have problems, you may need to stay longer.
Post-procedure Care TOP
At the Hospital
The healthcare staff will watch your breathing, heart rate, and pulse. Care may include:
During your stay, the healthcare staff will take steps to lower your chances of infection such as:
There are also steps you can take to lower your chances of infection such as:
You will need to:
Call Your Doctor TOP
Call your doctor if any of these occur:
If you think you have an emergency, call for emergency medical services right away.
American Gastroenterological Association
American Society of Colon and Rectal Surgeons
Canadian Association of Gastroenterology
The College of Family Physicians of Canada
Avitsland TL, Kristensen C, Emblem R, et al. Percutaneous endoscopic gastrostomy in children: A safe technique with major symptom relief and high parental satisfaction. J Pediatr Gastroenterol Nutr. 2006;43(5):624-628.
Ljungdahl M, Sundbom M. Complication rate lower after percutaneous endoscopic gastrostomy than after surgical gastrostomy: a prospective, randomized trial. Surg Endos. 2006;20(8):1248-1251.
Percutaneous endoscopic gastrostomy (PEG). American College of Gastroenterology website. Available at:
...(Click grey area to select URL)
Accessed August 24, 2018.
Understanding percutaneous endoscopic gastrostomy (PEG). American Society for Gastrointestinal Endoscopy website. Available at: https://www.asge.org/home/for-patients/patient-information/understanding-peg. Accessed August 24, 2018.
6/2/2011 DynaMed Plus Systematic Literature Surveillance http://www.dynamed... : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.
Last reviewed May 2018 by EBSCO Medical Review Board Marcin Chwistek, MD
Last Updated: 8/24/2018
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at email@example.com. Our Health Library Support team will respond to your email request within 2 business days.