Accidental removal of percutaneous endoscopic gastrostomy catheter occurred three times in a short period from the previous exchange

Abstract

A 78-year-old woman with vascular Parkinson syndrome who had an indwelling bumper-button type percutaneous endoscopic gastrostomy (PEG) catheter was transported to our hospital after accidental removal of the PEG catheter. Gastrointestinal endoscopy showed that the bumper remained in the antrum. The PEG catheter was replaced and the remaining bumper was removed. She was discharged on day 5. In this patient, similar event occurred two years previously and also four months later. As counter measures against accidental removal of the PEG catheter occurring three times in a short period from the previous exchange not accompanied by aged deterioration, we thought about a gastric inhibitor, caregiver education, and shortening the interval of PEG exchange.