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Percutaneous Endoscopic Gastrostomy Tubes (P.E.G.) - Tube
Replacement |
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| Your
Gastrostomy tube needs to be replaced |
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| Your doctor has asked us to replace your
percutaneous endoscopic gastrostomy tube (P.E.G. tube)
This is a simple procedure involving the removal of the
existing feeding tube and replacing it with a new one. It may or
may not involve a gastroscopy, depending on the type of tube you
currently have in place. A gastroscopy is an examination which
allows the doctor to look directly at the inside of your gullet
(oesophagus), stomach, and first part of the small bowel
(duodenum). This is done by passing a narrow flexible tube
through the mouth into the stomach. |
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| How to
Prepare |
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Your stomach needs to be empty so the doctor can
see clearly.
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Morning Appointments |
Afternoon Appointments |
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nothing to eat or drink and/or nothing through your feeding
tube after 10 pm the night before the procedure |
Have
nothing to eat or drink and/or nothing through your feeding
tube after a light breakfast at 7am on the day of your
procedure |
Usual medications may be taken up to 1 hour before the
procedure, with a small amount of water. Avoid taking antacids
e.g. Mylanta.
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What to Expect
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A nurse or doctor may put an injection port into a vein in your arm
through which pain relieving medication can be given if you need it.
If you have this medication you will need to rest in the department
afterwards. For people who have an active lifestyle, having the
medication will affect your activities. Please defer from the
following for 24 hours:
- driving
- operate machinery
- undertake strenuous activity
- drink alcohol
- going to work
Following these injections
you must not drive, take public transport unaccompanied or operate
machinery until the next day. If transport is problematic for
you, please discuss this with the gastroenterology nurse during your
pre-procedure telephone conversation.
You may resume your usual routine after 24 hours.
If you do not require medication for your procedure, you will be
able to leave straight away and resume your usual activities
immediately.
The way your existing tube is removed depends on the type it is.
Mostly, it can be gently pulled out by external traction. A doctor
or nurse who is experienced in this technique will do this.
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| After the
examination
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| Once the P.E.G. is replaced your nurse will monitor
you until you are ready to go home.
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| Safety and
Risks
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| P.E.G. tube replacement is relatively
uncomplicated, but occasionally problems arise. Bleeding or
infection can occur around the tube placement site, and infrequently
damage to other abdominal organs may occur. These complications are
rare, and the majority of people will have the procedure performed
in a straightforward manner. If you or your representative wish to
know more details of rare complications, please indicate to your
nurse that you wish to discuss all complications fully with the
doctor.
Gastroscopy is a safe procedure and complications are very
rare. Major complications occur once in every 7000 procedures.
If you have a gastroscopy you may experience a sore throat for a
day or two. Please note that if you have a crown or bridging
work on your teeth, these may be at risk during the procedure.
This can be avoided simply by not biting the mouth guard or
grinding your teeth during the gastroscopy. If you wish to
discuss risks further with the doctor, please indicate this to
your nurse.
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All about the replacement of your
P.E.G. Tube
Percutaneous Endoscopic Gastrostomy Tube
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Please phone the gastroenterology nurse for instructions about
taking your medication if you are a diabetic, or are using
blood-thinning medication (warfarin, asprin).. Telephone (09) 307
4949 and enter 7357
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Ministry of Health
