Which procedure creates a permanent opening into the stomach for a feeding tube, usually performed with endoscopic guidance?

Which procedure creates a permanent opening into the stomach for a feeding tube, usually performed with endoscopic guidance?

• A. PEG
• B. Nasojejunal tube
• C. Jejunostomy
• D. Orogastric tube

Answer: (A)

The concept being tested is how to establish a long-term access route into the stomach for feeding. Percutaneous endoscopic gastrostomy creates a permanent opening (stoma) from the skin into the stomach, typically guided by an endoscope. This endoscopic guidance makes placement safer and helps form a durable tract that can accommodate a feeding tube or a low-profile device for years of use. In contrast, tubes that go in through the nose or mouth (nasogastric or orogastric) are temporary and do not create a lasting gastric opening. A jejunostomy, while a feeding access, opens into the jejunum rather than the stomach, and thus does not provide a gastric route. So, the procedure that best fits a permanent gastric access with endoscopic visualization is the percutaneous endoscopic gastrostomy.

The concept being tested is how to establish a long-term access route into the stomach for feeding. Percutaneous endoscopic gastrostomy creates a permanent opening (stoma) from the skin into the stomach, typically guided by an endoscope. This endoscopic guidance makes placement safer and helps form a durable tract that can accommodate a feeding tube or a low-profile device for years of use. In contrast, tubes that go in through the nose or mouth (nasogastric or orogastric) are temporary and do not create a lasting gastric opening. A jejunostomy, while a feeding access, opens into the jejunum rather than the stomach, and thus does not provide a gastric route. So, the procedure that best fits a permanent gastric access with endoscopic visualization is the percutaneous endoscopic gastrostomy.