Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement
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Massachusetts General Hospital
Procedure Outline
Table of Contents
- 1. Introduction
- 2. Insufflation and Access to the Abdomen
- 3. Abdominal Exploration
- 4. Advance Endoscope to Stomach and Insufflate
- 5. Thread Wire into Stomach and out Through the Mouth
- 6. Use the Wire to Pull the Tube into the Stomach and out Through the Abdominal Wall
- 7. Oppose Stomach and Abdominal Walls Without Tension and Secure Tube
- 8. Closure
- 9. Post-op Remarks
- Place Second Port
- Determine Approach and Location for Tube
- Skin Incision at Location for Tube Exit
- Puncture Stomach Wall
- Hook Needle and Pass Wire Through
- Bring Wire out Through the Mouth
- Confirm Tube is Mobile Within the Stomach
