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Safely replacing a percutaneous endoscopic gastrostomy tube using a portable X-ray system at a patient’s home
  1. Hitoshi Eguchi1,
  2. Naoko E Katsuki2,
  3. Ken-ichi Yamamoto1 and
  4. Masaki Tago2
  1. 1Budounoki Clinic, Saga, Japan
  2. 2Department of General Medicine, Saga University Hospital, Saga, Japan
  1. Correspondence to Dr Masaki Tago; tagomas{at}


An 81-year-old woman who underwent percutaneous endoscopic gastrostomy (PEG) a year before, after cerebral infarction was receiving home medical care. The first accidental PEG tube removal occurred after clinic hours, and the home-care doctor visited her home to quickly reinsert the tube. After the narrowed fistula was dilated, the tube was reinserted with a guide wire. An X-ray taken with a CALNEO Xair, which is an easily portable X-ray system launched in 2018, confirmed that the tip of the PEG tube was successfully placed in the stomach. A similar accidental removal occurred 2 months later, and we managed it in the same way. Both events were resolved with a single radiograph without significant difficulty. With in-home medical care, PEG tube replacement can be performed easily and safely with a handy portable X-ray system.

  • general practice / family medicine
  • long term care
  • healthcare improvement and patient safety
  • home care nursing

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  • Contributors HE was involved in concept, literature search, drafting and clinical care of the patient. NEK was involved in literature search and drafting. KY was involved in literature search and clinical care of the patient. MT was involved in concept, literature search and revision of article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.