Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Endoscope Advancement into Stomach
- 3. Confirm Location with 1:1 Movement and Transillumination
- 4. Local Anesthetic and Incision
- 5. Finder Needle and Catheter Sheath Insertion Through Stomach Wall
- 6. Removing Needle and Replacing with Looped Wire Through Remaining Catheter
- 7. Snaring Wire Endoscopically and Pulling it out of the Mouth
- 8. Endoscopically Advance PEG Tube into the Stomach and Bring PEG Tubing out Through Incision
- 9. Reestablishing Endoscopic Visualization and Determining Appropriate PEG Placement and Length
- 10. Cutting the Wire off and Placing External Bumper and Lock
- 11. Cutting the Tube to Length, Attaching the Bag Adapter, and Dressing
- 12. Tips for Endoscopy
