Percutaneous Endoscopic Gastrostomy (PEG)

• Feeding Tube Malfunction (~23%) 
  – Blockage or dislodgement of the tube.
• Peritubular Leakage (~2%)
   – Leakage of gastric contents around the tube site.
• Superficial Infection (~1.6%) 
  – Localized infection at the insertion site.
• Bleeding 
  – May occur at the puncture site or internally.
• Gastrointestinal Perforation – Accidental perforation of the stomach or intestines.

Despite these risks, Percutaneous Endoscopic Gastrostomy (PEG) remains a safe and effective procedure, with a success rate exceeding 90%.

Proper postoperative care and regular follow-up can significantly reduce the risk of complications, ensuring that the patient receives continuous nutritional support.

• Keep the area around the stoma clean to prevent infection.
• Regularly replace the feeding tube, usually every 3-6 months.
• Ensure the feeding tube is securely fixed to avoid displacement.
• When feeding, the patient should maintain a semi-upright position and remain in this position for about 60 minutes afterward to prevent reflux.
• For bedridden patients, elevate the head by at least 30 degrees.
• Before feeding, check if the feeding tube is patent and measure the residual stomach contents.
• After feeding or administering medication, flush the feeding tube with 30-50 ml of water.
• Avoid using medications not fully dissolved in water to prevent tube blockage.