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Other risk factors for buried bumper include rigid tubes, sharp short bumpers, malnourished patients with subsequent weight gain, systemic corticosteroids, and chemotherapy If the tube is too small for the opening, it may need replacement with a larger tube Common presenting signs and symptoms include leakage around the peg tube, an inability to rotate or insert the tube, difficulty administering tube feeds, and abdominal pain.

Clinical photographs of a PEG tube. a) Depicts a patient's abdominal

Gastrostomy tubes may be placed endoscopically, surgically, or radiologically Sometimes the blockage can be aspirated out using a syringe Many of the complications seen with the various placement techniques are similar with similar approaches to management

This topic will review the management of complications related to gastrostomy tube placement, with a focus on percutaneous endoscopic gastrostomy.

Learn the difference between discharge and stoma leakage, and what to do if your child's stoma is leaking.