The Leeds Teaching Hospitals NHS Trust

PEG and feeding tubes

What is PEG?

Percutaneous endoscopic gastrostomy (PEG) is a type of feeding tube which is inserted through the skin of the abdomen into the stomach during an endoscopy. You may need a PEG if food, drink and medicines cannot reach your stomach (for example, if you can’t swallow properly). In Leeds this procedure is performed by Dr Donnellan, Dr Jennings, Dr McKay, Dr Mooney, Dr Rafferty, Dr Sainsbury, Dr Subramanian along with Nurse Endoscopist Julie Bowen and Susanna Newton.

The procedure

The endoscope is passed down into your stomach, which is inspected carefully along with the duodenum and gullet. If it is felt safe to place the gastrostomy tube, the endoscopist will mark the position on your abdomen and local anaesthetic given to numb the skin.

A very small cut in the skin, about 2 to 3mm long, is then made and a needle is placed into the stomach, and a thread or guide wire is passed through. This will then be taken up and out of your mouth through the endoscope.

The PEG tube will be attached to the end of the thread, and then pulled back through the wall of the stomach. Once the tube is in the correct position, a small plastic plate will be placed over the tube to hold it in place. The endoscope is then once again passed down into the stomach to ensure that the PEG tube is in the correct position. 

The procedure usually takes between 15 to 20 minutes. 

Pain relief

The procedure is performed with a combination intravenous pain killers and sedation. Some procedures are occasionally performed under General Anaesthesia.

After the procedure

Your individual risk from this procedure will be discussed with you by your doctor as this does vary depending on the presence of any other medical conditions. Potential risks can include infection, bleeding, perforation and aspiration pneumonia and misplacement.