The abdomen was prepped and draped in the normal sterile fashion. Upper endoscopy was performed which showed normal-appearing esophagus and stomach. External compression over the proposed PEG tube site showed 1-1 displacement of tissue. Finding needle was used and quickly entered the stomach in under 10 mm depth from the skin. It was deemed safe to proceed with PEG tube placement. A pull style 20 Fr PEG tube was utilized. Percutaneously a wire was passed and snared by the scope and was retracted out of the mouth. The pull style PEG tube was secured to this wire and retracted down the mouth into the stomach and out of the abdominal wall. Bumper was secured at 3 cm. Endoscopy was again performed to confirm good position of the PEG tube. The stomach was vented. The endoscope was removed. The patient tolerated the procedure well. The PEG tube was placed to gravity.
Service: Surg-onc (blue)
Author: Garrett Skinner