10
EDUCATIONAL MATERIAL FOR RISK MINIMISATION
FIGURE 7
FIGURE 6
FIGURE 5
3-4 cm
5-10 mm
Abdominal
Skin Surface
External
Bumper
Internal
Retention
Plate
Stomach
Surface
Tube Mobilisation to Prevent Buried Bumper Syndrome
After initial wound healing this procedure should be performed
every two to three days� Daily dressing is no longer necessary�
1� Wash hands thoroughly with soap and water�
2� If dressing is used, remove the dressing and release
the external retention plate to allow free movement of
the PEG-J tube�
3� Carefully push the tube 3 to 4 cm into the stomach and
gently pull back until you feel resistance of the internal
retention plate� Do not twist the tube� (Figure 5)
4� Inform your physician if there are any signs of
complications�
5� Replace the retention plate allowing free movement
of 5 to 10 mm. Apply a Y-dressing. A plaster fixation
is recommended for agitated patients� (Figure 6)
Daily Procedure
Flush the space between intestinal tube and PEG tube after
it has been used for feeding, or at least once a week with 40
mL of drinking water, as well as once a day after any feedings
given through the side port� (Figure 7)�
