Per-Oral Endoscopic Gastrostomy (PEG) Tube Insertion at GMH Wai

Ensuring Nutrition. Preventing Complications. Restoring Dignity.

🧑‍⚕️ Procedure by: Dr. Siddhant Jayaghosh Kaddu – General & Laparoscopic Surgeon, Endoscopist

💉 Sedation by: Dr. Vidula Kane

🏥 Geetanjali Multispeciality Hospital, Wai – Endoscopy Centre

Case Summary

A bedridden quadriplegic patient, suffering from hypoxic encephalopathy post-hanging incident (2 months prior), was brought to Geetanjali Multispeciality Hospital, Wai with:

Persistent paralysis
Absent gag reflex
Restricted mouth opening
Ongoing feeding via Ryle’s Tube (RT)

Clinical Challenge

The patient was neurologically impaired, with high risk of:

Aspiration pneumonia
Tube blockage
Inadequate nutrition due to long-term Ryle’s tube feeding

A decision was made to shift to Gastrostomy Feeding via PEG Tube Insertion, a safer and more effective long-term alternative.

Procedure: PEG Tube Insertion

Conducted at GMH Endoscopy Centre, Wai
Per-Oral Endoscopic Gastrostomy (PEG) performed with precision
Mild sedation administered for patient comfort

👨‍⚕️ Executed by Dr. Siddhant Kaddu and team

💉 Sedation managed by Dr. Vidula Kane

The procedure was uneventful, with successful placement of the PEG tube and initiation of enteral feeding.

Why PEG Tube Over Long-Term Ryle’s Tube?

Reduced Risk of:

Aspiration pneumonia
Nasal and throat irritation
Tube blockage

Improved Feeding:

Allows for larger volume nutrition
Supports better long-term care in neurocompromised patients

Ideal Use Cases for PEG Tube Insertion

Patients with quadriplegia or stroke-related swallowing issues
Those with oral or neck cancers at risk of aspiration
Individuals requiring long-term enteral feeding (>2–4 weeks)

Patient Outcome

✔️ PEG tube feeding started successfully

✔️ Patient’s nutritional status stabilized

✔️ Preventive step taken to reduce further respiratory and gastrointestinal complications

Why Trust Geetanjali Multispeciality Hospital, Wai?

🏥 Equipped for advanced endoscopic procedures

🧑‍⚕️ Experienced team in gastrointestinal access care

🛌 Tailored support for neuro-rehabilitation patients

💬 Compassionate, long-term care for complex conditions