‘Re-PEGing’: an endoscopic approach to inadvertent early removal of PEG tube

ABSTRACT

Inadvertent removal of percutaneous endoscopic gastrostomy (PEG) tube shortly after placement creates the potential for gastric perforation and requires immediate attention. This problem has been addressed in the past with either observation or surgery. We describe our experience with the alternative approach of semi-urgent ‘re-PEGing’. Our results in seven patients were favorable.

KEYWORDS:

• PEG
• gastrostomy
• feeding tube
• endoscopy
• early removal
• inadvertent removal
• complication
• replacement
• gastro-cutaneous tract

Author contributions

Soliman: Data acquisition, chart review, manuscript preparation, technical support

Kurchin: Manuscript preparation, supervisory role, study concept and design

Devgun: Data acquisition, supervisory role

Disclosure statement

No potential conflict of interest was reported by the author.