Accidental Late PEG Dislodgment in 3 Cases with A Narrow Stoma: Bougie Dilatation Rescue

Abstract

Percutaneous endoscopic gastrostomy (PEG) is a simple and effective method of enteral nutrition for many patients who cannot take oral food. The accidental dislodgment of the PEG tube after the maturation of the gastrocutaneous fistula (stoma) is called late dislodgment. If it is not detected early, the stoma lumen gets narrower and does not permit the passage of the replacement tube. In this case, the commonly followed method is to continue enteral nutrition by opening a new gastrocutaneous fistula after the complete closure of the original stoma. Here, we present a stoma-saving bougie dilatation method in 3 cases with severely narrowed stomas after late accidental dislodgment of the PEG tube.