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Low incidence of complications with Freka PEG tubes
  1. Emily Clarke,
  2. Stephen Lewis
  1. Derriford Hospital—Gastroenterology, Plymouth, UK
  1. Correspondence to Dr Emily Clarke, Derriford Hospital—Gastroenterology, Plymouth PL6 8DH, UK; emilyclarke2{at}

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We write in response to the article by Dowman et al1 in Frontline Gastroenterology describing a high incidence of buried bumper syndrome (BBS) associated with Freka percutaneous endoscopic gastrostomy (PEG) tubes.

In a recent large prospective audit at Derriford Hospital, we found few buried bumpers using predominantly Freka tubes in our patients. Patients are attended by specialist enteral feeding community dieticians who train patients or …

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