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The PEG procedure is an alternative to open surgical gastrostomy insertion, and does not require a general anesthetic; mild sedation is typically used. PEG tubes may also be extended into the small intestine by passing a jejunal extension tube (PEG-J tube) through the PEG tube and into the jejunum via the pylorus. [1]
A gastrostomy is the creation of an artificial external opening into the stomach for nutritional support or gastric decompression. Typically this would include an incision in the patient's epigastrium as part of a formal operation. When originally devised over a century ago the procedure was completed through open surgery using the Stamm ...
A gastric feeding tube (G-tube or "button") is a tube inserted through a small incision in the abdomen into the stomach and is used for long-term enteral nutrition. One type is the percutaneous endoscopic gastrostomy (PEG) tube which is placed endoscopically. The position of the endoscope can be visualized on the outside of the person's abdomen ...
Gastroenterostomy, anastomosis of gastric cardia to jejunum. A gastroenterostomy is the surgical creation of a connection between the stomach and the jejunum.The operation can sometimes be performed at the same time as a partial gastrectomy (the removal of part of the stomach).
Sengstaken–Blakemore tube: Used in the management of bleeding esophageal varices: Balloon dilator: Used to perform esophageal balloon dilatation, pyloric dilatation or ileocolonic dilatation Savary-Gilliard dilator: Used to perform esophageal bougie dilatation: Heater probe: Used to perform endoscopic heater probe thermocoagulation of ...
An enterostomy (entero-+ -stomy; / ɛ n t ə ˈ r ɒ s t oʊ m i /) is either (1) a surgical procedure to create a durable opening (called a stoma) through the abdominal wall into an intestine (small intestine or large intestine) or (2) the stoma thus created. The various types of enterostomy are named according to which intestinal segment is ...
Only smaller diameter (12 Fr or less in adults) nasogastric tubes are appropriate for long-term feeding, so as to avoid irritation and erosion of the nasal mucosa. These tubes often have guidewires to facilitate insertion. If feeding is required for a longer period of time, other options, such as placement of a PEG tube, should be considered.
These operations can be carried out using conventional open surgical procedures or minimally invasive techniques like laparoscopic or robotic-assisted surgery, which require smaller incisions and result in quicker recoveries. Surgery of the digestive system is a complicated topic that calls for specialized education and experience.