PEG Tract Infection

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The patient is a 91-year-old gentleman who presented to the ED because his PEG was out and his stoma was found to be closed. He was admitted inpatient for PEG replacement. The physician was asked to place the patient in outpatient status which he did. However when an attempt was made to replace the replace the PEG tube in endoscopically a patch amount of inflammation was found around the entire stomach. The site of the previously PEG placed was identified thick secretions from the PEG site noted on external exam therefore it was decided not to replace the PEG tube thru the original track. Another site was located however the feeling was if the patient had an underlying PEG tract infection the procedure should be avoided and the patient
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