What is a PEG?

If feeding by natural means is too severely impaired, a percutaneous endoscopic gastrostomy (PEG) is an established form of treatment for maintaining nutrition. PEG placement is an established and low-risk surgical procedure using the “keyhole technique” (endoscopy). A specialized internist creates a small opening in the abdominal wall at the level of the stomach during a gastroscopy. Similar to piercing an ear hole (for wearing ear jewelry), this wound then heals, creating a painless body opening (“stoma”). A plastic tube is inserted into the opening through which fluids and nutritional solutions can be administered. In this way, an adequate supply of energy and nutrients can be ensured, even if there is a severe swallowing disorder.

It is important that feeding can continue naturally through the mouth even after a PEG tube has been inserted (if motor skills allow). Timing plays an important role in PEG insertion: patients should not wait until their body is weakened and their ability to undergo surgery is limited. Decisions about feeding therapy and the right time for PEG insertion are part of a confidential discussion between the patient, doctor and feeding therapist.