TY - JOUR
T1 - An evaluation of the "cut and push" method of percutaneous endoscopic gastrostomy (PEG) removal
AU - Merrick, Susan
AU - Harnden, Sarah
AU - Shetty, Shishir
AU - Chopra, Preeti
AU - Clamp, Philip
AU - Kapadia, Suneil
PY - 2008/1
Y1 - 2008/1
N2 - Background: This study aimed to establish whether 15-Fr gauge percutaneous endoscopic gastrostomy (PEG) tubes can be safely removed by "cut and push." Methods: Patients were prospectively recruited who were found to be without significant intestinal dysfunction requiring removal of Freka (Fresenius Kabi) 15-Fr gauge PEG tubes. The PEG tube was cut close to the stoma and the remnant pushed into the gastric lumen with a 14-Fr nasogastric tube. Patients were asked to observe their stool for the remnant. Patients were contacted at day 7 and an abdominal x-ray was arranged for those who had not seen the remnant in the stool. If the remnant was still present as seen on plain x-ray, the patient was contacted on day 14. A second x-ray was ordered if the patient reported that they had still not seen the remnant. Outcome measures were PEG remnant observed in stool or not seen on plain abdominal x-ray, and adverse events. Results: Forty-two patients were recruited over 29 months: 38 head and neck patients and 4 others (stroke, head injury, cystic fibrosis [CF], and lung cancer). Of these, 41 had passed the remnant by day 8 and all by day 14. No adverse events occurred. Conclusions: We have concluded that cut and push is a safe method of removal for Freka 15-Fr PEG tubes in ambulant patients without significant gastrointestinal history.
AB - Background: This study aimed to establish whether 15-Fr gauge percutaneous endoscopic gastrostomy (PEG) tubes can be safely removed by "cut and push." Methods: Patients were prospectively recruited who were found to be without significant intestinal dysfunction requiring removal of Freka (Fresenius Kabi) 15-Fr gauge PEG tubes. The PEG tube was cut close to the stoma and the remnant pushed into the gastric lumen with a 14-Fr nasogastric tube. Patients were asked to observe their stool for the remnant. Patients were contacted at day 7 and an abdominal x-ray was arranged for those who had not seen the remnant in the stool. If the remnant was still present as seen on plain x-ray, the patient was contacted on day 14. A second x-ray was ordered if the patient reported that they had still not seen the remnant. Outcome measures were PEG remnant observed in stool or not seen on plain abdominal x-ray, and adverse events. Results: Forty-two patients were recruited over 29 months: 38 head and neck patients and 4 others (stroke, head injury, cystic fibrosis [CF], and lung cancer). Of these, 41 had passed the remnant by day 8 and all by day 14. No adverse events occurred. Conclusions: We have concluded that cut and push is a safe method of removal for Freka 15-Fr PEG tubes in ambulant patients without significant gastrointestinal history.
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U2 - 10.1177/014860710803200178
DO - 10.1177/014860710803200178
M3 - Article
C2 - 18165451
AN - SCOPUS:38349057715
SN - 0148-6071
VL - 32
SP - 78
EP - 80
JO - Journal of Parenteral and Enteral Nutrition
JF - Journal of Parenteral and Enteral Nutrition
IS - 1
ER -