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.
Clinical Features and Management of Accidental Pulling of PEG tube
About the Author
Passionate Physician, Trained as Medical Gastroenterologist & Hepatologist
skssabu@gmail.com
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