FES Written Exam 2026 Questions and
Verified Answers (2026/2027 Updated)
| Graded A+ | 100% Success
What is russell approach? - Correct Answer -commonly used by IR. uses T-fastners.
Can be considered in pts with oropharyngeal malignancy or obstructing
esophageal neoplasia.
size of the PEG tube for PEJ - Correct Answer -16G
obtions for PEG/PEJ removal - Correct Answer -endoscopic removal with division
of the feeding tube, endoscopic removal o the intraluminal portion of the
remaining tube or bumper, traction removal
how often should PEG/PEJ replaced - Correct Answer -q6mo
minor complications a/w PEG/PEJ - Correct Answer -wound infection, tube
dysfunction, drainage of enteric contents or tube feeds from around the tube site
,significant complications a/w PEG/PEJ - Correct Answer -early tube dislodgement,
tube migration, peritonitis, gastrocolic fistula formation
how do you treat early PEG tube dislodgement - Correct Answer -NG
decompression, IV abx, serial ab exam
how do you manage PEG tube migration - Correct Answer -pull back if at the
pylorus causing obstruction, if tube moved out of the GI tract, tube removal or
surgical removal
what are the three types of bougies? - Correct Answer -blunt-tipped (hutrst),
tapered-tip(maloney), wire-guided(savary)
what is the limit of dilation - Correct Answer -no more than 3 successive sizes
(goes up by 3 french 36>39>42)
what size bougie is usually required to relieve dysphagia 2/2 esophageal stricure -
Correct Answer ->40F
, technique for ballon dilation - Correct Answer -deflate the balloon as soon as the
narrow waist of the stricture vanishes under fluoro vs leave the dilation balloon
inflated for 30 seconds to 2 minutes
perforation rate of balloon dilation - Correct Answer -2-3%
where should you inject botox for achlasia - Correct Answer -posterior aspect of
the lower esophageal sphincter so not to interfere w/ surgical myotomy
when are stents used? - Correct Answer -1. palliation for esophageal cancer
2. reduce reflux (windsock at the GE jx)
occlude TE fistula
treat biliary obstruction
tumor ingrowth occurs more frequency with coated or noncoated stents? -
Correct Answer -noncoated
stent migration occurs more frequency with coated or noncoated stent - Correct
Answer -coated
Verified Answers (2026/2027 Updated)
| Graded A+ | 100% Success
What is russell approach? - Correct Answer -commonly used by IR. uses T-fastners.
Can be considered in pts with oropharyngeal malignancy or obstructing
esophageal neoplasia.
size of the PEG tube for PEJ - Correct Answer -16G
obtions for PEG/PEJ removal - Correct Answer -endoscopic removal with division
of the feeding tube, endoscopic removal o the intraluminal portion of the
remaining tube or bumper, traction removal
how often should PEG/PEJ replaced - Correct Answer -q6mo
minor complications a/w PEG/PEJ - Correct Answer -wound infection, tube
dysfunction, drainage of enteric contents or tube feeds from around the tube site
,significant complications a/w PEG/PEJ - Correct Answer -early tube dislodgement,
tube migration, peritonitis, gastrocolic fistula formation
how do you treat early PEG tube dislodgement - Correct Answer -NG
decompression, IV abx, serial ab exam
how do you manage PEG tube migration - Correct Answer -pull back if at the
pylorus causing obstruction, if tube moved out of the GI tract, tube removal or
surgical removal
what are the three types of bougies? - Correct Answer -blunt-tipped (hutrst),
tapered-tip(maloney), wire-guided(savary)
what is the limit of dilation - Correct Answer -no more than 3 successive sizes
(goes up by 3 french 36>39>42)
what size bougie is usually required to relieve dysphagia 2/2 esophageal stricure -
Correct Answer ->40F
, technique for ballon dilation - Correct Answer -deflate the balloon as soon as the
narrow waist of the stricture vanishes under fluoro vs leave the dilation balloon
inflated for 30 seconds to 2 minutes
perforation rate of balloon dilation - Correct Answer -2-3%
where should you inject botox for achlasia - Correct Answer -posterior aspect of
the lower esophageal sphincter so not to interfere w/ surgical myotomy
when are stents used? - Correct Answer -1. palliation for esophageal cancer
2. reduce reflux (windsock at the GE jx)
occlude TE fistula
treat biliary obstruction
tumor ingrowth occurs more frequency with coated or noncoated stents? -
Correct Answer -noncoated
stent migration occurs more frequency with coated or noncoated stent - Correct
Answer -coated
