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Ben is a 33-year old man who has moderate learning disability together with hydrocephalus, spastic diplegia, visual impairment and epilepsy.

He has been diagnosed as having a carcinoma of the kidney with lung metastases. A decline in Ben's nutritional status meant decisions relating to maintaining his weight and general overall condition had to be made. 

As Ben has a relatively good quality of life it was decided by Ben's family and the palliative care team to arrange for Ben to have a percutaneous endoscopic gastrostomy (PEG).

The staff caring for Ben would like further advice on aftercare and problems relating to the PEG.

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