What criteria does your institution use to indicate patient is ready for PEG tube removal?

The short answer is we typically advise patients that if they can maintain an oral diet (using the tube for flushes only) for 2 weeks and demonstrate no weight loss they are typically ready for tube removal. Our patients though are followed through the course of their treatment by a dietician, and the caveat is that the dietician is also convinced that the patient's nutritional needs in terms of calories/protein, etc are being met orally.

I agree with Dr. @Dr. First Last with a couple of minor differences in practice patterns based upon my patient population. A number of the patients treated at my institution are from fairly remote areas with poor support systems at home and/or access to care. With these patients, we tend to be a little more cautious in pulling the PEGs after treatment and generally wait a little longer, ~4 weeks or so, of them maintaining weight with PO-only intake.

One other item is that we perform baseline sw...

At our institution, we re-evaluate at the ~3-4 week follow-up visit and use similar criteria for Gtube removal:

1. Clinically trending toward recovery of RT acute effects, i.e. issues that were precluding PO intake warranting tube placement in the first place should be resolved or convincingly improving.
2. Maintaining stable weight on PO only (no nutrition per tube) for at least 3 weeks.
3. Post-RT evaluation by SLP (FEES/MBS) without evidence of aspiration or other signs of dysphagia concerning for in...