Which of the following is a significant complication associated with PEG/PEJ placement?

The significant complication associated with PEG (Percutaneous Endoscopic Gastrostomy) or PEJ (Percutaneous Endoscopic Jejunostomy) placement is early tube dislodgement. This complication can occur shortly after the placement of the feeding tube, often due to insufficient fixation or inappropriate handling of the tube. Early dislodgement can lead to serious issues, including the need for re-insertion, which carries additional risks for the patient.

Understanding the mechanics of PEG/PEJ tube placement helps illustrate this risk. During the procedure, the tube is typically secured to the skin with sutures or adhesive devices. If not properly fastened or if excessive movement occurs, the tube may be pulled out from the stomach or jejunum prematurely, which could also introduce infection or prolong tube re-insertion processes.

In contrast, complications like tube dysfunction may occur over time and can often be managed without immediate intervention. Wound infection can also occur post-operatively, but it does not typically manifest as an early complication. Traction removal, while a concern in managing the tube, does not present as a significant complication immediately associated with the procedure itself. Overall, the immediacy and impact of early tube dislodgement on patient care make it a critical focus