PEG

PEG refers to a percutaneous endoscopic gastrostomy tube and when changing the current tube we will be replace it with a new low profile button or an elongated tube as with the original PEG.

THE PROCEDURE

PEG changes involves deflating the internal retention balloon of the old tube, removing it, and then placing a new, smaller button, with the replacement guided by a wire or endoscopy if needed. If the tube needs to be replaced the old tube will be removed and a new tube will be inserted into the same tract. An anaesthetic is usually required for the button change however in some circumstances such as replacing the old tube this may not need sedation. You will be able to go home after the PEG change.

The PREPARATION

You must stop eating food for at least 5 hours prior to your admission time. However you can drink ONLY WATER for up to 2 hours prior to admission then completely fast.

Risks

Complications to this procedure are minimal. There is only a 1% chance of major problems (bleeding, leakage, severe pain) and an 8% chance of minor ones occurring over time (infection, leaks, tube migration). Sedation may or may not be used. Bringing your ventilator will make it more likely we can give sedation. If this is a second PEG change then no sedation will be needed as we only need to deflate the balloon which is painless.

You will need to bring your ventilator along with you to the hospital if you have one. Keep it with you during the day of admission for use in recovery. Do not allow nurses to lock it away in the cupboard.

If you wish to change the appointment you will need to notify the rooms on 95910466. Please ensure the correct date and time of admission are on the forms.