Endoscopic Gastrostomy (PEG) in India

Endoscopic Gastrostomy, commonly known as Percutaneous Endoscopic Gastrostomy (PEG), is a minimally invasive procedure to insert a feeding tube directly into the stomach for patients who cannot eat orally due to neurological disorders, head and neck cancers, or other swallowing difficulties.

India offers advanced gastroenterology and endoscopy services, experienced surgeons, and comprehensive post-procedure care for PEG placement.

Anterior Cruciate Ligament (ACL) Reconstruction is a surgical procedure to repair or replace a torn ACL, a key ligament that stabilizes the knee joint. ACL injuries are common in athletes and active individuals, and timely reconstruction restores knee stability, prevents further damage, and allows return to sports and daily activities.

India provides advanced ACL reconstruction with orthopedic surgeons, sports medicine specialists, and state-of-the-art arthroscopic facilities.

Indications for Endoscopic Gastrostomy

  • Patients with difficulty swallowing (dysphagia) due to stroke, neurological disorders, or injury

  • Head and neck cancer patients unable to maintain oral nutrition

  • Chronic conditions requiring long-term nutritional support (e.g., ALS, cerebral palsy)

  • Severe malnutrition when oral intake is insufficient

  • Temporary or long-term enteral feeding requirement

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Symptoms/Conditions Addressed

  • Inability to swallow food or liquids safely

  • Risk of aspiration or choking

  • Unintended weight loss or malnutrition

  • Prolonged illness requiring nutritional support

  • Need for medication delivery via feeding tube


Procedure Overview

  1. Pre-procedure Assessment

    • Blood tests, imaging, and evaluation by gastroenterologist and anesthetist

    • Review of medications and allergies

  2. Endoscopic Gastrostomy Procedure (PEG Placement)

    • Performed under local anesthesia with sedation

    • An endoscope is passed through the mouth into the stomach

    • A small incision is made in the abdominal wall to insert the feeding tube

    • Placement confirmed using endoscopic and external visualization

    • Procedure duration: 20–40 minutes

  3. Post-procedure Care

    • Observation for 1–2 hours post-procedure

    • Instructions on feeding, tube care, and hygiene

    • Follow-up for tube replacement or troubleshooting

    • Monitoring for complications like infection or blockage


Benefits of Endoscopic Gastrostomy

  • Provides long-term nutritional support for patients unable to eat orally

  • Minimally invasive with short procedure time and quick recovery

  • Reduces risk of aspiration and choking

  • Can be used for medication administration

  • Improves quality of life and overall health in chronic conditions


Endoscopic Gastrostomy Cost in India

Table 1: Average PEG Placement Cost in India

Procedure TypeMinimum Cost (INR)Maximum Cost (INR)Approx. USD Range
PEG Tube Placement₹50,000₹1,50,000$600 – $1,810
Pre-procedure Tests & Imaging₹5,000₹20,000$60 – $240
Post-procedure Care & Medications₹5,000₹15,000$60 – $180
Tube Replacement (if needed)₹10,000₹30,000$120 – $360

Factors Affecting Cost

  1. Hospital facilities and city – Advanced gastroenterology centers may charge higher

  2. Patient condition – Complications or comorbidities may increase cost

  3. Pre- and post-procedure tests – Imaging, labs, and medications

  4. Tube type and longevity – Standard vs specialized feeding tubes

  5. Follow-up care – Tube replacement, infection management, and dietary consultation


Who Should Consider Endoscopic Gastrostomy?

  • Patients with swallowing difficulties due to neurological or structural causes

  • Individuals with head and neck cancers or chronic illnesses requiring long-term feeding

  • Patients unable to maintain adequate nutrition orally

  • Candidates referred by gastroenterologists, surgeons, or nutrition specialists

  • Suitable for both adults and pediatric patients requiring enteral nutrition

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