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2%; p=0.79), abdominal tenderness (2% vs. 3%; p=0.76), high gastric residuals (2% vs. 2%; p=1.0 and aspiration (0% vs. 2%; p=0.39). There was no difference when comparing post-operative complications (4% vs. 8%; p=0.21). Early tube feeding after PEG placement is safe and equivalent to late tube feeding in the adult trauma population. Future prospective studies are warranted to establish the optimal timing for initiation of tube feeds after PEG tube placement. Early tube feeding after PEG placement is safe and equivalent to late tube fee