Patients who receive PEG feeding will have a PEG tube inserted directly into their stomach. The tube allows all food, fluids and medications to pass directly into the digestive tract. As a PEG tube goes directly into the stomach it can be used for people that have difficulty swallowing food or liquids. It can also be used if there is a risk of’aspirating’ on foods. This is when foods’go the wrong way’ and may wind up in the patient’s lungs causing problems. PEG feeding enables people to receive all the essential nutrients, maintain a healthy weight and improve overall wellbeing and quality of life. It can sometimes be used when people are unable to take in adequate nutrition themselves, e.g. if somebody has severe anorexia. Though PEG feeding was initially developed for kids, it is now commonly used for both adults and kids of all ages. Make a search on the following website, if you are searching for additional information about venepuncture training.
The decision to insert a PEG tube will always be made on an individual basis following discussions with the individual and the multi-disciplinary team. When someone only needs temporary enteral tube feeding it’s sometimes possible to pass a thin tube through the nose into the stomach. However, if the person requires longer-term enteral feeding, PEG feeding may be considered. In general, PEG tubes are better tolerated than NG tubes. They have fewer interruptions and are easier to use and they also have fewer risk/complications compared to NG tubes. The PEG tube is frequently more comfortable and is relatively simple to care for and manage at home. Lots of people choose a PEG tube as they are a discreet alternative, which can be easily concealed under clothes. On the day of the procedure, patients should not eat for six hours and will have to quit drinking clear fluids two hours before the procedure. In most hospitals, once the patient arrives on the ward a cannula or small needle will be placed in the hand or arm, before being moved into a dedicated Endoscopy Unit.
The procedure does not require a general anesthetic, even though some patients may be given a sedative. A mouth guide will be positioned in the patient’s mouth, and the endoscope then passes through the mouth into the stomach. Throughout the procedure, suction equipment is used to remove saliva and other secretions in the throat. An antiseptic solution and local anesthetic will be applied to the individual’s stomach. The tube is then placed into the stomach with an exit made through the abdominal wall. A small plastic disc on both the inside and outside stops the tube from becoming dislodged, with the entire procedure usually taking between 20-30 minutes. If you’re caring for a patient with a PEG tube you must pay meticulous attention to hand hygiene and other facets of infection control. Wash your hands carefully and always wear gloves and an apron, when administering the food or carrying out a task which involves touching the tube. The tube and the surrounding area must be cleaned daily with soap and water and thoroughly dried. The tube should also be flushed before and after every enteral tube feeding, to decrease the risk of blockages or infections developing.