Jon,

The port and Peg can be placed at the same surgery if your doctor/surgeon agree.

The port is a device that is place into your upper chest area near the clavicle. It is totally under the skin so it stays sterile. With each chemo treatment or even to have blood drawn, you will get a "stick" thru the skin and into the port. It is minimally painful and the infusion nurses are great about applying an anesthetic topically to numb the area. Bill actually had a cream that he could apply an hour before his "stick" that would numb the area so, no pain. Once into the port, a small IV tubing is placed to usually, first draw blood and then to infuse you. Chemo is fairly hard on your arm veins so the port keeps the nurses from having to find a good vein each time they need blood or need to administer chemo drugs.
The PEG is placed into your belly. There are pictures here on the OCF main website that show a PEG tube. You can continue to eat and drink by mouth with the PEG and as a matter of routine you should continue to swallow something several times a day even if you are totally eating by way of the PEG tube. Liquid supplements and water are put thru the PEG tube in several ways: You can simply pour it in with a wide syringe base, you can push it in with a plunger into the syringe, or there is a machine that you can hook up to that will feed you over a long period of time..say when you are sleeping.

RE: the pineapple juice. You can continue to drink the juice as long as your mouth can handle it. Since it is so acidic, I suspect that a few weeks into treatment, you might not be able to tolerate it. If you feel like it is something that your body needs, you could pour it thru the Peg as long as it is not too chunky.

Hope this helps,

Deb