Date issued: April 2022
For review: April 2024
Ref: C-334 v3
Daily Care of the Freka Percutaneous Endoscopic Gastrostomy tube (PEG)
Two Step Daily care
Undo the clip on the triangular fixation plate, detach the tube from the groove and move away from the skin.
Clean the stoma site, tube and fixation plate with mild soap and water using a soft cloth (no cotton wool products)
Advance the tube 3-4cm and rotate 360 degrees. Pull back gently until resistance is felt.
Clean the tube that has been in the stomach to remove acid.
Dry the tube, fixation plate and skin thoroughly.
Replace the fixation plate approximately 1cm from the skin, re-insert the tube
into the groove and close the clip.
Aim to complete step 2 at least once a week but no more than once a day
Document how far the tube was advanced, that it was rotated 360 degrees and whether there was any resistance.
The purpose of advancing and rotating the tube is to prevent Buried Bumper
Syndrome. Inform appropriate Health Care Professional if any concerns.
Points to remember
• Good hand & equipment hygiene
• Maintain sitting position of a minimum of 45° when flushing & feeding
• Regular mouth care
• Monitor the condition of stoma site and use prescribed topical creams/barrier film and/or prescribed dressings as clinically indicated.