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PEG Tube Placement Prep

PEG Tube Placement Prep Explained

A PEG (percutaneous endoscopic gastrostomy) tube provides long-term access for nutrition, hydration, or medications when eating by mouth is not possible or safe. The tube is placed or exchanged during a sedated endoscopic procedure, and proper preparation helps support safety and recovery.

Important Things to Know

  • Continue all aspirin and anti-inflammatory medications including ibuprofen, Motrin, Aleve, naproxen, Naprosyn, sulindac, piroxicam, Feldene, indomethacin, diclofenac, and Voltaren. Tylenol (acetaminophen) is also safe to continue.
  • If you take a prescribed blood thinner you will need holding instructions from our office.
  • Arrange to have a driver take you home after the procedure. You will not be allowed to drive after receiving sedation.
  • If you have diabetes or are taking medications for weight loss, use the following instructions:
    • Fasting (going without food) is required for this procedure, monitor your blood sugar and follow these directions
      • GLP-1 - STOP 7 days prior to your procedure. (ex: Ozempic, Wegovy, Mounjaro, Zepbound, Trulicity, Semaglutide, Tirzepatide)
      • SGLT2 - Stop 3 days prior to procedure (ex: Jardiance, Farxiga, Invokana, Steglatro, Brenzavvy, Glyxambi, Synjardy, Xigduo, Qtern)
      • Other oral diabetic medication: do not take the morning of your procedure.
      • Insulin Pump: Leave on, if you have questions refer to your endocrinologist.
      • Long-acting Insulin: half dose the evening before procedure. Do not take the morning of your procedure.
      • Short-acting insulin: dose as necessary with blood sugar monitoring.
      • If you are concerned about your blood sugar dropping, consider purchasing glucose tablets.

Timing & Schedule

Preparation focuses on fasting for sedation, medication planning, and arranging transportation. You’ll avoid eating and drinking for a period of time before the procedure and will need a responsible adult to drive you home afterward. Detailed instructions and timing are provided below.

Instructions:
Step 1.
Day of Your Procedure
  • 8 hours prior to the procedure, BEGIN A CLEAR LIQUID DIET. Do not eat any solid foods. You may consume clear fluids including juice (apple, grape, strained orange, strained lemonade), tea, coffee (no milk or creamer), soft drinks, sports drinks (Gatorade, Powerade), clear broth or bouillon, Jell-O, and popsicles.
  • 4 hours prior to your procedure, STOP ALL LIQUIDS This also means NO water other than to take your medications – this is very important. Drinking less than 4 hours before your procedure may result in delay or cancellation of your procedure!
  • Take your usual prescribed medications with small sips of water.
  • Dentures will be removed prior to the procedure, please DO NOT use denture adhesive.
  • Please bring a list of your current medications and correct dosage to your appointment.
Step 2.
After Your Procedure
  • NO DRIVING – You may be given a sedative for you tube placement or replacement. If a sedative is administered, you cannot drive for the remainder of the day. You need to have a responsible driver to take you home after your procedure. If your driver wishes to discuss the results of your procedure with the doctor, please have them accompany you to your procedure and remain on site.
  • We do not recommend Uber, Lyft, or taking a taxi – these are not acceptable forms of transportation postsedation.
  • If you are sedated for your procedure, please avoid alcohol and making legal decisions for the remainder of the day after your procedure.
Take Aways
Additional Details
Medication:
  • STOP GLP-1 medications 7 days prior to your procedure.
  • STOP SGLT2 medications 3 days prior to procedure.
  • Clear liquids only 8 hours prior to your exam – that means no solid food – liquids only.
  • PLEASE do not drink water or anything while driving to your appointment or waiting for your appointment – we need your stomach empty to safely use sedation.
  • You may not remember your conversation with your doctor after your procedure – we STRONGLY recommend your driver stays IN our facility to speak with the doctor after your test.
  • We cannot be responsible for your valuables (watches or various jewelry items). Please leave them at home.
  • Bring all insurance cards and a photo ID with you. Please check with your insurance company regarding prior authorization.
  • Fee for services is required at time of check-in. Please be prepared to make a payment.
This summary does not replace the detailed PEG care instructions you receive at your appointment. Always follow the specific plan given by your provider.

Supplies Needed

PEG tube and placement kit (provided)
Dressings and tape (provided or instructed)

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Information on this website is for education only and not a substitute for medical advice.

If you’re experiencing an emergency, call 911.
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