Nutrition Services for adults

Percutaneous Endoscopic Gastrostomy - or PEG - discharge information

This page provides information/advice on discharge following a Percutaneous Endoscopic Gastrostomy (PEG).

It is important that patients are aware of what problems they may experience following discharge and situations that require further advice or treatment.


If you have an established stoma siteShow [+]Hide [-]

  • When the site has healed (two to three weeks), clean daily with mild soap solution using tissues or soft cloth
  • No dressing should be necessary unless there is a heavy discharge.

If you have a newly formed stoma siteShow [+]Hide [-]

  • For 10 – 14 days clean the stoma site using a sterile saline solution.
  • Apply a dry dressing if there is oozing from PEG site
  • If the site is inflamed, oozing blood or pus obtain a swab for analysis. (This can be done by your GP or District Nurse).
  • Rotate the tube through 360° daily.
  • For two to three do not immerse the site in water (use showers not baths).

Fixation plateShow [+]Hide [-]

  • The external fixation plate can be released at this point (two to three weeks) noting the number mark on the tube, to access the stoma site for thorough cleaning – perform daily thereafter. Replace fixation plate after cleaning in its original position (if you are unsure how to do this, don't worry as the PEG Nurse will go through this procedure at your six week appointment, either in the PEG clinic or on a home visit).
  • If you have gained weight or your abdomen is distended, the position may need to be altered slightly.

Flushing and feedingShow [+]Hide [-]

  • Only administer prescribed feed, cooled, boiled water and medication
  • Ensure prescribed volume of water is flushed through the tube before and after feed.
  • Medicines should always be in suspension presentations
  • Sitting upright or with the head of the bed elevated will help prevent reflux and risk of chest infections
  • Do not lie flat for 30 minutes after feeding has finished
  • If the tube blocks flush with 30 mls of warm water. If this fails after 30 minutes flush with soda water (carbonated drink) or pineapple juice. If still blocked after a further 30 minutes contact PEG Team or Out of Hours - contact details below.

Please note

If during the first seven days following your tube insertion:

  • there is a leak of fluid around the tube
  • there is pain on feeding
  • or there is fresh bleeding

Stop the feed immediately and contact the hospital. Contact details below.

Contact details

Monday to Friday - 9.00am to 5.00pm:

For adults

Urgent messages:

  • PEG Nurses, tel: 0191 282 9637
  • Nutrition Nurse, tel: 0191 244 8520
  • RVI Endoscopy Unit, tel: 0191 282 5655

Non-urgent messages:

  • Answer phone, tel: 0191 282 0134

Answer phone, tel: 0191 282 0134

 

For children

  • Sister Children’s Services, tel: 0191 282 1694
  • or, tel: 0191 282 0325

Outside the hours above:

  • Newcastle Hospitals Switchboard, tel: 0191 233 6161
Newcastle Hospitals Switchboard, tel: 0191 233 6161

Ask to speak to:

  • For adults - Specialist Registrar on call for gastroenterology and the Liver Unit at the Freeman Hospital
  • For children – Specialist Registrar on call for paediatrics

Specialist Registrar on call for gastroenterology and the Liver Unit at the Freeman Hospital

Leaflet to download

You can download the information on this page as a leaflet.pdf

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