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In the morning, he was taken back to the endoscopy suite where endoscopic clips were employed to close the gastric wall defect and a PEG tube was replaced at an adjacent site. The patient was fed 24\u2009hours thereafter and discharged from the hospital 48\u2009hours after the procedure. Early accidental removal of a PEG tube in patients without sepsis or peritonitis can be safely treated with simultaneous endoscopic closure of the gastrotomy and PEG tube replacement, resulting in earlier enteral feeding and shorter hospital stay.<\/jats:p>","DOI":"10.1136\/bcr-2019-230728","type":"journal-article","created":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T08:07:07Z","timestamp":1567670827000},"page":"e230728","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement"],"prefix":"10.1136","volume":"12","author":[{"given":"Peter","family":"Cmorej","sequence":"first","affiliation":[{"name":"Department of Surgery, Wayne State University, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Mayuiers","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wayne State University, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2291-0585","authenticated-orcid":false,"given":"Choichi","family":"Sugawa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wayne State University, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,9,4]]},"reference":[{"key":"2025082702422984000_12.9.e230728.1","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1097\/01.RVI.0000082983.48544.2C","article-title":"National trends in gastrointestinal access procedures: an analysis of Medicare services provided by radiologists and other specialists","volume":"14","author":"Duszak","year":"2003","journal-title":"J Vasc Interv Radiol"},{"key":"2025082702422984000_12.9.e230728.2","first-page":"407","article-title":"Complications related to percutaneous endoscopic gastrostomy (PEG) tubes. 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