A surgical procedure for placing a feeding tube without having to perform an open laparotomy (operation on the abdomen). The aim of PEG is to feed those who cannot swallow. PEG may be done by a surgeon, gastroenterologist (GI specialist). It is done in a. hospital or outpatient surgical facility. The patient is usually mildly sedated and local anesthesia (usually lidocaine or another spray) is used to anesthetize the throat. An endoscope (a flexible, lighted instrument) is passed through the mouth, throat and esophagus to the stomach. The surgeon then makes a small incision (cut) in the skin of the abdomen and pushes a feeding tube through the skin into the stomach and sutures (ties) it in place. The patient can usually go home the same day or the next morning. Possible complications include wound infection (as in any kind of surgery) and dislodging or malfunction of the tube. A gastrostomy (a surgical opening into the stomach) is made percutaneously (through the skin) using an endoscope to put the feeding tube in place. PEG takes less time, carries less risk and costs less than a classic surgical gastrostomy which requires opening the abdomen.
- Percutaneous endoscopic jejunostomy
(PEJ) A surgical procedure for placing a feeding tube into the jejunum (part of the small intestine) without having to perform an open laparotomy (an operation opening the abdomen). The aim of PEJ is to feed a patient who cannot swallow. PEJ may be done by a surgeon or gastroenterologist (GI specialist).
- Percutaneous nephrolithotripsy (PNL)
A technique for removing large and/or dense stones and staghorn stones. PNL is done via a port created by puncturing the kidney through the skin and enlarging the access port to 1 cm (about 3/8 inch) in diameter. There is no surgical incision. PNL is done under anesthesia and real-time live x-ray control (fluoroscopy). Because […]
- Percutaneous transhepatic cholangiography
Cholangiography, percutaneous transhepatic.
- Percutaneous transluminal coronary angioplasty
The use of a balloon-tipped catheter to enlarge a narrowed coronary artery. Abbreviated PTCA.
The male head of the family; the father figure. Paterfamilias is the Latin for father of the household. It is compounded from pater (father) + familias, which comes from familia (household), from famulus (servant, slave). The feminine counterpart is the materfamilias.