Endoscopy PEG Gastrostomy Triage Service

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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. 

How to refer

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.