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Do we need to rotate a balloon type PEG tube?


To prevent Buried Bumper Syndrome, a PEG with internal retention dics should be rotated 360 degree and in/out. But how about the balloon type PEG tube? (as Buried Bumper Syndrome rarely occurs for those balloon type?)

The water content in balloon should be checked weekly. Should "new" water be injected after checking or just re-injecting the "old" water is okay?