The Whittington Health Percutaneous Endoscopic Gastrostomy (PEG) Service provides insertion, replacement and removal of PEG feeding tubes/jejunal extension conversions.

Eligibility Criteria

Inclusions

• adults who require long-term gastric feeding tubes
• patient must be able to lie flat and tolerate an endoscopy.

Exclusions

• patients requiring radiologically inserted gastrostomy tubes/first balloon gastrostomy tubes/low-profile feeding devices
• patients unable to lie flat or open mouth to accommodate mouth guard
• patients with chest infections, other infections requiring antibiotic therapy or diarrhoea
• patients who are not clinically fit to undergo sedation
• patients with buried bumper syndrome may require referral to surgeons if endoscopic removal is unsuccessful
• patients requiring oxygen therapy
• patients for upper gastrointestinal endoscopy.

How to Refer