{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T02:39:57Z","timestamp":1785897597618,"version":"3.56.0"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,6,7]],"date-time":"2013-06-07T00:00:00Z","timestamp":1370563200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,6,7]],"date-time":"2013-06-07T00:00:00Z","timestamp":1370563200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>: Percutaneous endoscopic gastrostomy (PEG) is the method of choice for long\u2010term nutrition in patients with longstanding eating difficulties due to pathological entities that impair swallowing. The feeding catheters are designed to be removed by external traction or by endoscopy. <jats:italic>Aim<\/jats:italic>: To evaluate the feasibility of the cut\u2010and\u2010push method as a possible safe alternative to the pullout method for removal of soft PEG devices with a large caliber. <jats:italic>Methods<\/jats:italic>: Patients with 20 French (Fr) or larger soft PEG system were enrolled for PEG removal by the cut\u2010and\u2010push technique. The replacement catheters were 2 Fr larger than the original ones. Patients were observed at 24 and 72 hours via home nursing care and then weekly for 1 month for signs of intestinal obstruction, tube leakage, or blockage. <jats:italic>Results<\/jats:italic>: Seventy\u2010nine patients (52 men; mean age 67 years) underwent the procedure: 42 due to leakage and 37 due to blockage. Mean time before tube removal was 4.8 months (range, 3\u20138). PEG devices were 20 Fr and 24 Fr in 57 (72.2%) and 22 (27.8%) cases, respectively. Collection of the inner component from stool was reported within 48 hours in 63 cases (80%). No cases of intestinal obstruction or other severe adverse events due to the inner component being eliminated throughout the intestine were observed in any patient during the study. <jats:italic>Conclusions<\/jats:italic>: The cut\u2010and\u2010push method employed for removal of a soft PEG tube with a large caliber seems to be safe and can be performed when removal by external traction may determine the occurrence of peristomal complications or jeopardize PEG replacement.<\/jats:p>","DOI":"10.1177\/0884533613486933","type":"journal-article","created":{"date-parts":[[2013,6,7]],"date-time":"2013-06-07T22:46:12Z","timestamp":1370645172000},"page":"490-492","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Feasibility of the Cut\u2010and\u2010Push Method for Removing Large\u2010Caliber Soft Percutaneous Endoscopic Gastrostomy Devices"],"prefix":"10.1002","volume":"28","author":[{"given":"Adnan","family":"Agha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dib","family":"AlSaudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuele","family":"Furnari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamdouh M.","family":"Abdulhadi Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafaat","family":"Morched Chakik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Islam","family":"AlSaudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Savarino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo G.","family":"Giannini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,7]]},"reference":[{"key":"e_1_2_3_2_1","first-page":"372","article-title":"Economic impact of malnutrition: a model system for hospitalized patients","volume":"12","author":"Reilly JJ","year":"1980","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/51.5.749"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2005.06.013"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(02)70405-7"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1054\/clnu.2000.0100"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860710803200178"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533608323420"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820731"},{"key":"e_1_2_3_10_1","first-page":"348","article-title":"Gastrointestinal: late complication of percutaneous endoscopic gastrostomy","volume":"18","author":"Nind G","year":"2004","journal-title":"J Gastroenterol Hepatol"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1308\/147870807X227728"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533611405534"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533611405533"}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0884533613486933","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0884533613486933","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0884533613486933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:11:21Z","timestamp":1760962281000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0884533613486933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,7]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1177\/0884533613486933"],"URL":"https:\/\/doi.org\/10.1177\/0884533613486933","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"value":"0884-5336","type":"print"},{"value":"1941-2452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,6,7]]}}}