{
  "abstract": "A woman in her late 80s presented for the exchange of a percutaneous endoscopic gastrostomy (PEG) button (Ideal Button, Olympus; 24 Fr, 3.5 cm). The device had been placed approximately 2.5 years (900 days) earlier at a tertiary university hospital for nutritional support during treatment for Stage IVA right oropharyngeal cancer (squamous cell carcinoma, p16-negative). Although she was subsequently followed at a regional hospital, the PEG remained unused and unmanaged as she maintained oral intake. The lack of routine maintenance was identified only when she visited our general medicine clinic on a remote island. Although asymptomatic regarding abdominal pain, the patient requested removal due to a persistent foul odour from the stoma site and psychological anxiety about the long-term retained foreign body.",
  "authors": [
    {
      "affiliations": [
        "Department of Clinical Laboratory Medicine, Jichi Medical University, Shimotsuke, Tochigi Prefecture, Japan",
        "Department of General Medicine, Rishiri Island National Health Insurance Hospital, Rishiri-cho, Rishiri-gun, Hokkaido, Japan",
        "General Medicine Center, Shimane University Hospital, Izumo, Japan"
      ],
      "name": "Wahei Uemura"
    }
  ],
  "title": "Difficulties in transcutaneous removal of a long-term unused percutaneous endoscopic gastrostomy tube due to material deterioration and encrustation",
  "uid": "f42e0ed9-300c-51f3-af5a-563a1555f062"
}