Endoscopy PEG Gastrostomy Triage Service

Under Review — this page was due to be reviewed by 26/09/2021. The information shown here may be outdated.

Service provides insertion, replacement, removal of PEG feeding tubes/jejunal extension conversions.

Eligibility criteria

Service for adults who require long term gastric feeding tubes; patient must be able to lie flat and tolerate an endoscopy.

Patients requiring Radiologically Inserted Gastrostomy tubes / first balloon gastrostomy tube / low profile feeding device.
Patients unable to lie flat or open mouth to accommodate mouth guard.
Patients with chest infections; other infections requiring antibiotic therapy, or patients with diarrhoea.
Patients who are not clinically fit to undergo sedation.
Patients with buried bumper syndrome may require referral to surgeons.
Patients requiring oxygen therapy.
Please do not refer patients for Upper GI Endoscopy.

The following clinicians can refer to this service: GPs

EMIS form

Referral methods: e-Referrals

See referral checklist (Downloads)

Search e-RS for Diagnostic Endoscopy – Endoscopic PEG Gastrostomy Triage Service

If patient does not have capacity, a completed Consent 4 Form (can be downloaded from the referral system) needs to be scanned in with the referral.