Gastroenterology Services

Percutaneous Endoscopic Gastrostomy Placement (PEG)


Percutaneous endoscopic gastronomy placement is the insertion of a feeding tube directly into the stomach. This procedure is commonly used for patients who experience difficulty swallowing and cannot consume food by mouth to meet daily nutritional needs.

Preparing for the procedure

You should not eat or drink anything at least eight hours before the procedure. You may need to stay overnight in the hospital. Please arrange to have someone drive you home afterward.

During the procedure

PEG placement is typically performed under local anesthesia with the use of sedative medication that is administered intravenously. Numbing spray may be used on the back of your throat to prevent gagging. Next, a local numbing anesthetic is injected into your abdomen and an endoscope is inserted into your mouth and passed to your stomach. A small incision is made in your abdomen where the feeding tube is inserted through the opening while your doctor views the inside of your stomach with the endoscope. The tube is held in place with a balloon-shaped cap and a dressing is placed over the opening of the incision.

You may experience pain or cramping during recovery. Your doctor will review specific instructions for taking care of your incision and feeding tube after the procedure.