Abstract
We developed a new technique for sequentially enlarging a fistula so as to allow the reinsertion of a percutaneous endoscopic gastrostomy (PEG) tube. The distinctive feature of this technique is the use of a pair of Griggs guidewire dilating forceps to do a blunt, one-step dilation of the narrow gastric fistula after the insertion of the guide wire. This technique was performed in 5 patients who required a larger-size PEG tube and in 3 patients in whom the PEG tube was accidentally removed ; there were no complications. It is advantageous that the forceps can be sterilized and then reused. Furthermore, all guidewire introduced gastrostomy tubes may be reinserted using this technique. Thus, this technique is safe, efficacious, and cost-effective.
