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Doctors Lounge - Gastroenterology Answers

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Forum Name: Gastroenterology Topics


 khooldude1 - Tue Apr 07, 2009 7:11 am

Dear Doctor,

My grandpa is 87 yrs old and had a PEG tube procedure about a week ago because he was having trouble swallowing and was malnurished. He often aspirated while taking in fluilds. The site of the tube is now infected and leaks and foams with stomach fluid when he eats something through his mouth. The doctor is saying that this is occuring because he is malnurished and his stomach wall doesn't have the ability to grasp the tube to cause a tight fit. He wants to now remove the tube and let the hole heal and just feed him through the mouth. Does this sound right?

 John Kenyon, CNA - Mon Apr 13, 2009 11:25 pm

User avatar Hello --

The doctor's opinion certainly could be valid, as the stomach wall can become, especially in the older and malnourished patient, friable and unable to maintain traction with a PEG tube. If this is, indeed, the case (and there's no reason to doubt it is) then oral feeding or nasogastric tube feeding can become necessary. Hopefully this can be accomplished with a minimum of discomfort and will help get your grandpa back in shape.

Good luck to you and please follow up with us here as needed.

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