A problematic PEG

Alice, a 69-year-old woman, was discharged from hospital after resection of a malignant carotid tumour three weeks ago.

PEG feeding

Unfortunately, the glossopharyngeal nerves were sacrificed in the procedure, resulting in loss of safe swallowing.

In hospital, a percutaneous endoscopic gastrostomy (PEG) tube was inserted for her fluids, nutrition and medications, as she is unable to swallow these without aspirating.

Alice and her husband were trained by the hospital dietitian to give the PEG feeds.