About the placement of your percutaneous endoscopic gastrostomy (peg) tube for drainage memorial sloan kettering cancer center electricity generation in usa


A PEG is a tube that is inserted into your stomach to drain stomach juices and fluid. This will help relieve the nausea and vomiting caused by a blockage in your stomach or bowel and will make you feel more comfortable. The tube is placed during a procedure called an endoscopy, which is described in the “What to expect” section in this resource.

Having a PEG tube will let you enjoy eating and drinking. You will be able to drink liquids and eat soft foods or foods that have been mixed in the blender. However, these foods and liquids will only give you a small amount of nutrition. This is because they will mostly drain through the tube into a drainage bag. Your doctor or nurse will discuss with you how you will meet your nutritional needs. 1 Week Before Your Procedure Ask about your medications

• If you take medication to thin your blood, ask the doctor who prescribes it for you when to stop taking it. Some examples are warfarin (Coumadin ®), dalteparin (Fragmin ®), heparin, tinzaparin (Innohep ®), enoxaparin (Lovenox ®), clopidogrel (Plavix ®), and cilostazol (Pletal ®).

You must have someone 18 years or older take you home after your procedure. If you don’t have someone to do this, call one of the agencies below. They will send someone to go home with you. There’s usually a charge for this service, and you will need to provide transportation. Agencies in New York

You will receive a telephone call from an endoscopy nurse. They will review the instructions in this resource with you and ask you questions about your medical history. The nurse will also review your medications and tell you which ones to take the morning of your procedure. Back to top The Day Before Your Procedure Note the time of your appointment

A clerk from the Admitting Office will call you after 2:00 pm the day before your procedure. They will tell you what time you should arrive at the hospital for your procedure. If your procedure is scheduled on a Monday, you will be called on the Friday before. If you do not receive a call by 7:00 pm, please call 212-639-5014.

To reach the garage, enter East 66 th Street from York Avenue. The garage is located about a quarter of a block in from York Avenue, on the right-hand (north) side of the street. There is a pedestrian tunnel that goes from the garage into the hospital.

Once you arrive at the hospital, doctors, nurses, and other staff members will ask you to state and spell your name and date of birth many times. This is for your safety. People with the same or similar names may be having procedures on the same day.

When it’s time for your procedure, you will be brought into the procedure room and helped onto an exam table. You will be attached to equipment to monitor your heart, breathing, and blood pressure. You will also receive oxygen through your nose. A mouth guard will be placed over your teeth to protect them.

You will receive anesthesia (medication to make you sleepy) through your IV. Once you’re asleep, your doctor will pass the endoscope (a flexible tube with a camera at the end) through your mouth, down your esophagus (food pipe) and into your stomach.

Your doctor will make a tiny incision (surgical cut) on the skin of your abdominal (belly) wall and pass a feeding tube through the incision. The tube will come out about 8 to 12 inches outside your body and will be covered by a small bandage dressing to keep in place.

Sit up when you drink or eat to allow the foods or liquids to drain into the bag. Remain sitting up for at least 30 minutes after you eat. If you don’t, you may feel nauseous. If you feel nauseous, check to make sure the tube is not tangled. If it is, untangle it. This should make you feel better. If not, flush your tube. See the section “Flushing your PEG tube” for directions.

When you’re drinking clear liquids without any problems, you can increase your diet to full liquids, if your doctor approves. If you haven’t had any problems after 2 days of full liquids, you can start eating soft or puréed foods. Purée your foods in a blender or food processor. Only follow these steps if you have your doctor’s approval.

Your doctor may approve for you to eat food that isn’t puréed. You must eat it in tiny pieces and chew it very well. Eat very small portions. Don’t eat more than 4 cups of food or drink more than 1 liter (33.8 ounces) of liquids in 24 hours. Each time you eat or drink, you will lose some important nutrients. This is because they drain into the drainage bag with the food or liquid.

Some of what you eat and drink will drain through the tube into the drainage bag. For example, if you eat red gelatin, the drainage in the bag will be red. Stomach juices will drain into the bag even if you have not eaten. The colors will range from green to dark yellow.

Some people will need to have intravenous (IV, given through a vein) liquids when they are at home so they don’t become dehydrated. This may be done through different catheters and ports such as a Broviac or Hickman catheter, a Mediport ® or peripherally inserted central catheter (PICC). Your doctor will insert one of these while you’re in the hospital, if you don’t already have one. If you need an IV line, your doctor or nurse will give you more information about it. Flushing your PEG tube

You will need to flush the tube at least once a day. You or your caregiver should flush the tube once you’re done eating. This is because the tube can get clogged with food. It may also need to be flushed if thick stomach juices or mucus clog it. If you feel nauseous or full and don’t feel better after sitting up, flush your PEG tube.