Endoscopy PEG Gastrostomy Triage Service


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

Eligibility Criteria


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


  • 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

EMIS form

Referral methods: e-Referrals

Complete the referral checklist in Downloads before completing the referral. The referral will be rejected if it does not contain all of the information listed.

Send the Diagnostic Endoscopy – Endoscopic PEG Gastrostomy Triage Service Referral Form via e-RS.

If patient does not have capacity to consent, the referring clinician must complete the Consent 4 Form (see Downloads) and scan it in with the referral.

Service Feedback


Review date: Friday, 08 November 2024