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Percutaneous Endoscopic Gastrostomy (PEG)

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Your child needs a stomach tube for feedings. The doctors and you have decided to use a Percutaneous Endoscopic Gastrostomy (PEG) tube to feed your child. Your child will be taken to the operating room to have the PEG put in. Your child will receive a small amount of anesthesia when the tube is placed. The PEG can be used for feedings by the next day. Your child may be uncomfortable the first day or two. A non-aspirin pain reliever may be used for pain if needed.

Daily care of the PEG tube

  1. Clean the skin around the tube with warm soap and water twice a day. You may use Q-tips or a wash cloth.
  2. While cleaning the skin around the tube, turn the tube in a circle.

Skin Irritation

The skin around the button may get red and irritated when there is leakage. The leakage can burn the skin. Preventing the leakage is the best way to stop this from happening. If irritation occurs, a skin barrier may be used. Your child's nurse can help you with this.

Replacing the PEG tube

The PEG tube must stay in place for at least two months. After this time, another gastrostomy tube or skin level device can be inserted. This is usually done in the clinic. Contact your child's pediatric surgical nurse practitioner to make an appointment.

Call your child's doctor if:

  • Your child’s temperature is greater than 101.5°F rectally or by mouth.
  • There is a large area of redness around the tube or skin level device.
  • The white anchor is tight against the skin rather than lying on the top of the skin.
  • There is yellow or green drainage from around the tube or skin level device.
  • There is swelling around the tube or skin level device.
  • A fluid feeding leak around the tube or skin level device.
  • There is a continuous leakage around the tube or skin level device.

Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.

Reviewed: 08/2011

(757) 668-7000