start

PEG Feeding Tube Care Instructions | Roswell Park Patient Education

[Music]

a peg tube is a tube that goes into the

stomach for feeding purposes some

patients need a feeding tube in order to

maintain good nutrition because they

have trouble swallowing or are unable to

get enough food through their mouths

usually the tube is temporary the tube

is placed as a same-day surgical

procedure you will receive intravenous

sedation but general anaesthesia is

usually not needed a flexible tube or

endoscope will be passed through your

mouth into your stomach the doctor will

then be able to see inside of your

stomach a small half inch incision is

made through your skin and abdominal

wall the tube is placed through this and

into your stomach

a balloon holds the tube inside the

stomach another type of tubing has what

looks like a mushroom plastic piece that

holds it inside stomach sutures are used

to hold the stomach against the

abdominal wall with pea facets these are

called bumpers or buttons on the outside

there is a plastic disc or flange that

goes around the tubing and is close to

the skin it should not be too tight to

the skin

there will be six to 12 inches of tubing

with a cap on the end a dressing will be

placed on the peg site change this every

day after cleaning the site and be sure

to wash your hands first clean the site

gently with soap and water while taking

a shower or at the sink if there is

crusty drainage but the skin is still

intact then you may use hydrogen

peroxide on cotton swabs be sure to

rinse with water afterwards the tubing

should be secured with tape

[Music]

if you have the bumper type of T

fasteners on the skin then they will

need to be removed by the GI clinic

three weeks later if you have button

types of t fasteners these are

dissolvable sutures and should fall off

after three to four weeks you may turn

them gently to help the process if they

do not fall off then make an appointment

in the GI clinic to have them remove in

order to prevent clogging it's important

to floss the tube at least twice daily

use 60 milliliters of water that is room

temperature wash before and after each

feeding or liquid medication

[Music]

you

a registered dietician at Roswell Park

Cancer Institute will recommend the type

and amount of feeding you'll receive be

sure to sit up during the feeding and at

least 60 minutes afterward when you have

a peg tube you may still eat or drink by

mouth depending on your situation you

need to check with your doctor or

provider to be sure wash the feeding

syringe with soap and water to keep it

clean the PEG tube may be needed for a

few months or a few years depending on

your situation the tube may be replaced

or removed in the clinic by a nurse

practitioner without sedatives or

anesthesia and it's usually very well

tolerated complications are not common

however they may have it call the clinic

if any of these occur bleeding that is

continuous or excessive leakage at the

site pet has become worse clogging on

the tube so that you can no longer use

it pain at the PEG tube site that you

would rate at five or more on a scale of

zero to ten signs of infection at the

PEG tube site this includes redness

warmth swelling foul-smelling tan or

green drainage or fever of 100 point

five degrees Fahrenheit that lasts more

than 24 hours

if the tube falls out it must be

replaced as soon as possible for the

opening were closed

you may rinse off the tube and place it

into the opening if possible

another endoscopy for PEG tube placement

may be needed if it falls out during

normal business hours and Monday through

Friday and you live in the western New

York area then call the GI clinic and

plan to come in if it is not normal

business hours or you live more than 50

miles away then go to the nearest

emergency department call the GI clinic

if you need to make an appointment

afterwards

[Music]

after you had a standard peg tube for at

least a month you may choose to have it

replaced with a mixing tube this is a

low-profile gastrostomy tube meaning

there is no extra tubing on the outside

there is a cap that covers the feeding

hole open the port by removing the cap

there is an anti reflux valve inside

that prevents stomach juices from

flowing out attach the extension tubing

by aligning the black line on the

extension set with the black line on the

feeding port then rotated one quarter

turn

keep the clamp on the extension tubing

closed until you're ready to start your

feeding attach the extension set to a

catheter tip syringe for bolus feeding

water and feeding should be room

temperature wash the extension set with

warm soapy water and rinse with plain

water after use the extension set may be

replaced every one to two weeks the

Mikki feeding tube does not need a

dressing but the site should be cleaned

daily feel free to use soap and warm

water the Mikki feeding tube needs to be

replaced every four months or sooner if

there's a problem please answer your

nurse or provider if you have any

further questions about the Mikki tube