Feeding Jejunostomy or PEG tube Insertion

Feeding jejunostomy or PEG tube insertion

Sustained Nutrition Via Enteral Access

Feeding jejunostomy and percutaneous endoscopic gastrostomy (PEG) are procedures to establish long-term nutritional access for patients unable to swallow safely due to head and neck tumors, postoperative changes, or neurologic impairment. A PEG tube is placed endoscopically into the stomach, while a jejunal feeding tube is surgically tunneled into the jejunum (small intestine), bypassing the stomach when gastric feeding is contraindicated.

Personalized Treatment Plan:

Dr. Singhavi evaluates each patient’s swallowing function, GI anatomy, and overall prognosis to select the ideal method. For PEG placement, he coordinates with gastroenterology to perform endoscopic insertion under sedation, creating a stoma through the abdominal wall. If high aspiration risk or gastric dysmotility is present, he opts for a jejunostomy, creating a small laparotomy incision to insert and secure the feeding catheter. He ensures optimal tube position with fluoroscopic or endoscopic guidance. Postoperatively, he prescribes a graduated feeding regimen—beginning with water flushes, then tailored nutrient formulas—under the supervision of dietitians. Regular stoma care and tube maintenance protocols are provided to nursing staff and caregivers.

Benefits :

Dr. Singhavi’s enteral access procedures enable reliable, long-term nutrition and hydration, reducing malnutrition and weight loss in patients with compromised oral intake. Early establishment of feeding tubes supports wound healing, immunocompetence, and tolerance of adjuvant therapies. By choosing the most appropriate route—gastric or jejunal—he minimizes aspiration risk and gastrointestinal intolerance. Patients and families gain peace of mind knowing that nutritional goals are met safely, promoting strength, treatment adherence, and an improved overall quality of life.