Acalasia/gastric distention and a PEG?

I have had a heller myotomy and fundiplication in 06.  I have had acalasia since 94. I am 36 years old.

I get gastric distention that puts my pain at a 10 and puts me on the floor. I go to the ER to have an NG tube placed and get decompressed, which brings me to a tolerable 6.

My problem is now, with all my scarring and strictures, etc. I can no longer tolerate the NG tube.

So, I recommended to my primary care provider, that we try a PEG to get access to my stomach.The VA has denied me this for years because I'm "too young" and risk of infection, etc. But since they have no treatment or pain medication for me, she's willing to try. Anyone ever hear of this method, or have any educated opinions?

Thanks,
Lana