Simple foreign body reactions can be managed with local skin care (cleaning with hydrogen peroxide and warm water)
Leakage of gastric contents around the tube indicates that the percutaneous tract is too large for the tube; management should include the physician or service responsible for placing the tube, and may include:
Removal for 24-48hrs (with the optional placement of a guidewire) to promote shrinking of the percutaneous tract
Complete removal of the PEG with the intent of tract closure and subsequent placement of a new PEG at an alternate location
Leakage of gastric fluid into the peritoneal cavity results in chemical and bacterial peritonitis; management may include:
Discontinuing tube feeds
Starting empiric antibiotics initiated
Obtain imaging and surgical consult
Removal for 24-48hrs (with the optional placement of a guidewire) to promote shrinking of the percutaneous tract
Complete removal of the PEG with the intent of tract closure and subsequent placement of a new PEG at an alternate location
Discontinuing tube feeds
Starting empiric antibiotics initiated
Obtain imaging and surgical consult
Leaking G-tube
Clogged G-tube
Displaced G-tube
Infected G-tube
Post-operative fever
Chylous leak
G-tube complications
Lower gastrointestinal bleeding