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 Published: 24/11/2011

P.E.G. Tube Removal

Percutaneous Endoscopic Gastrostomy Tubes (P.E.G.) - Tube Removal
Your Gastrostomy tube needs to be removed
Your doctor has asked us to remove your percutaneous endoscopic gastrostomy tube (P.E.G. tube Removal). 

This is a simple procedure involving the removal of the existing feeding tube. It may or may not involve a gastroscopy, depending on the type of tube you currently have in place. A gastroscopy is an examination, which allows the doctor to look directly at the inside of your gullet (oesophagus), stomach, and first part of the small bowel (duodenum). This is done by passing a narrow flexible tube through the mouth into the stomach.

How to Prepare
Your stomach needs to be empty so the doctor can see clearly.

Morning Appointments Afternoon Appointments
Have nothing to eat or drink and/or nothing through your feeding tube after 10 pm the night before the procedure Have nothing to eat or drink and/or nothing through your feeding tube after a light breakfast at 7am on the day of your procedure
Usual medications may be taken up to 1 hour before the procedure, with a small amount of water. Avoid taking antacids e.g. Mylanta.
What to Expect
The way your existing tube is removed depends on the type it is. Mostly, it can be gently pulled out by external traction. A doctor or nurse who is experienced in this technique will do this. 
When you arrive at the department a doctor or nurse will look at your P.E.G. tube and assess the most appropriate way to remove it. If you require a gastroscopy, or need medication to keep you comofortable, an injection port will be inserted into a vein in your arm. Medication will be given through it to keep you relaxed and comfortable. If you have medication you will need to rest in the department after the P.E.G. tube is removed. Medication may affect your activities. Please defer from the following for 24 hours:
  • driving
  • operate machinery
  • undertake strenuous activity
  • drink alcohol 
  • going to work

You must not take public transport home unaccompanied. Please arrange for someone to collect you from the department and drive you home. If transport is problematic for you, please discuss this with the gastroenterology nurse during your pre-procedure telephone conversation. You may resume your usual routine after 24 hours.

If you do not require medication for your procedure, you will be able to leave straight away and resume your usual activities immediately.

 After the examination
Once the P.E.G. is removed your nurse will monitor you until you are ready to go home.
Potential Complications
P.E.G. tube removal is relatively uncomplicated, but occasionally problems arise. Bleeding or infection can occur around the tube placement site, and infrequently damage to other abdominal organs may occur. These complications are rare, and the majority of people will have the procedure performed in a straightforward manner. If you or your representative wish to know more details of rare complications, please indicate to your nurse that you wish to discuss all complications fully with the doctor.

Gastroscopy is a safe procedure and complications are very rare. Major complications occur once in every 7000 procedures. If you have a gastroscopy you may experience a sore throat for a day or two. Please note that if you have a crown or bridging work on your teeth, these may be at risk during the procedure. This can be avoided simply by not biting the mouthguard or grinding your teeth during the gastroscopy. 

If you wish to discuss risks further with the doctor, please indicate this to your nurse.

All about the removal of your 
P.E.G. Tube
Percutaneous Endoscopic Gastrostomy Tube

P.E.G. Tube Diagramme

Please phone the gastroenterology nurse for instructions about taking your medication if you are a diabetic, or are using blood-thinning medication (warfarin, asprin). Contact can be made through the hospital paging system. Telephone (09) 358 0825 and enter 7357