Accidental Pulling  of PEG Tube

822 Comments / By / June 10, 2025

Dr. Sanoop Kumar Sherin Sabu M.D.,

  • Neurologically impaired or mentally confused patients are particularly at risk of self-pulling the tube
  • Dislodgement is most common early (<7 days), when the tract is immature, increasing risk of peritonitis
  • Overall incidence of accidentally pulled PEG tube rates is 4% (pulled off within 7 days) to 12 %  (life time overall risk) based on different literature.

How does a PEG tubes inside look like?

There is a internal balloon in the gastric side of the PEG tube. The internal balloon measures:-

  • 5 to 20 mL of sterile water  (usually 15ml) if it is fully inflated. In some brands its as low as 5ml which is very low.  
  • The   balloon   diameter when fully inflated is usually around 2 to 3 cm

After PEG tube insertion in done, in about 4 weeks time there will be a tract formation between the stomach wall and the skin a like a fistula.

Endoscopic view of the internal appearance of PEG tube

Clinical Features and  Management of Accidental Pulling of PEG tube

About the Author

Dr. Sanoop Kumar Sherin Sabu M.D., FCPM.,
Passionate Physician, Trained as Medical Gastroenterologist & Hepatologist

skssabu@gmail.com

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