PT  - JOURNAL ARTICLE
AU  - Kevin J O’Sullivan
AU  - Aidan G O’Sullivan
AU  - Noelle Power
AU  - John Gillick
AU  - Colum P Dunne
AU  - Leonard O’Sullivan
AU  - Barry Linnane
TI  - Use of 3D printing to create a bespoke repair of a Percutaneous Endoscopic Gastrostomy (PEG) tube in patient unfit for surgical replacement
AID  - 10.1136/bmjinnov-2017-000246
DP  - 2018 Jan 01
TA  - BMJ Innovations
PG  - 29--31
VI  - 4
IP  - 1
4099  - http://innovations.bmj.com/content/4/1/29.short
4100  - http://innovations.bmj.com/content/4/1/29.full
SO  - BMJ Innov2018 Jan 01; 4
AB  - We report a case of three-dimensional (3D) printing being used to solve a difficult bedside clinical problem and avoidance of substantial risk associated with alternative solutions. A 15-year-old male with advanced cystic fibrosis developed a small (~1mm) linear tear in his Percutaneous Endoscopic Gastrostomy (PEG) tube, approximately 40 mm from the skin surface. The patient’s advanced condition precluded replacement of the PEG tube under general anaesthetic. Attempts to manage the tear with adhesive tapes yielded limited success. 3D printing was used to create a bespoke sealing device overnight, rectifying the leak and allowing enteral feeding to recommence unimpeded. The device is functioning well, several months post-discharge of the patient.