The doctors of Gastroenterology of Southern Indiana must often perform routine procedures for the evaluation and treatment of many digestive tract problems. For detailed information regarding a specific procedure, simply click on the procedure listed below. The information about the following procedures is meant as a reference only and should not be used as diagnostic treatment.
G-tube Removal is a short procedure, usually performed in the office. Your doctor has asked us to remove your percutaneous endoscopic gastrostomy tube (PEG tube Removal).
This is a simple procedure involving the removal of the existing feeding tube. It may or may not involve a gastroscopy, depending on the type of tube you currently have in place. A gastroscopy is an examination, which allows the doctor to look directly at the inside of your gullet (esophagus), stomach, and first part of the small bowel (duodenum). This is done by passing a narrow flexible tube through the mouth into the stomach.
The way your existing tube is removed depends on the type it is. Mostly, it can be gently pulled out by external traction. A doctor or nurse who is experienced in this technique will do this.
When you arrive at the office, a doctor or nurse will look at your PEG tube and assess the most appropriate way to remove it. If you require a gastroscopy, or need medication to keep you comfortable, you may be taken to the operative suite where an injection port will be inserted into a vein in your arm. Medication will be given through it to keep you relaxed and comfortable. If you have medication, you will need to rest after the PEG tube is removed. Medication may affect your activities.
Please defer from the following for 24 hours:
You must not drive home unaccompanied. Please arrange for someone to pick you up and drive you home. If transportation is problematic for you, please discuss this with the nurse during your pre-procedure telephone conversation. You may resume your usual routine after 24 hours.
If you do not require medication for your procedure, you will be able to leave following the procedure and resume your usual activities immediately.
PEG tube removal is relatively uncomplicated, but occasionally problems arise. Bleeding or infection can occur around the tube placement site, and infrequently damage to other abdominal organs may occur. These complications are rare, and the majority of people will have the procedure performed in a straightforward manner. If you or your representative wish to know more details of rare complications, please indicate to your nurse that you wish to discuss all complications fully with the doctor.
Gastroscopy is a safe procedure and complications are very rare. Major complications occur once in every 7,000 procedures. If you have a gastroscopy, you may experience a sore throat for a day or two. Please note that if you have a crown or bridge work on your teeth, these may be at risk during the procedure. This can be avoided simply by not biting the mouthguard or grinding your teeth during the gastroscopy.
If you wish to discuss risks further with the doctor, please indicate this to your nurse.