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Percutaneous endoscopic gastrostomy is a procedure to make an opening between the skin of your child's belly and stomach. The doctor will put a thin tube called a gastrostomy tube into your child's stomach through the opening. This tube is sometimes called a G-tube, a PEG tube, or a feeding tube. The tube can put liquid nutrition, fluid, and medicines directly into the stomach. The tube also may be used to drain liquid or air from the stomach.
Your child will get medicine to go to sleep and prevent pain during the procedure. The doctor will put a thin, lighted tube that bends (called an endoscope, or scope) into your child's mouth. The doctor will move the scope gently down your child's throat. The scope will have a camera on it. The doctor will look at a monitor (like a TV set or a computer screen) as he or she moves the scope into your child's stomach. The doctor will send puffs of air through the scope. This inflates the stomach. It helps the doctor see where to place the feeding tube.
The doctor will make a small cut in your child's belly. The cut is called an incision. The doctor will put the feeding tube into your child's mouth. Then he or she will guide the tube down your child's throat into the stomach. The doctor will pull one end of the feeding tube out of your child's belly through the incision. This end of the feeding tube will stay outside your child's body. The other end will stay in the stomach. The doctor may use stitches to close the incision around the feeding tube.
Your child will go home the same day as the procedure. Before you take your child home, the doctor or nurse will teach you how to use and care for the feeding tube.
Procedures can be stressful for both your child and you. This information will help you understand what you can expect. And it will help you safely prepare for your child's procedure.
Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.
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Current as of: November 7, 2018
Author: Healthwise Staff
Medical Review:John Pope MD - Pediatrics & Thomas Emmett Francoeur MD MDCM, CSPQ, FRCPC - Pediatrics
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