RECONSIDERING THE REPLACEMENT OF PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN PATIENTS WITH REINSERTION DIFFICULTIES

-RECOVERY OF THE CLOSED/INJURED FISTULA FOR THE TUBE EXCHANGE USING NON-SURGICAL ENDOSCOPIC CATHETER-GUIDED METHOD-

Abstract

We tried re-insertion of a percutaneous endoscopic gastrostomy (PEG) tube using endos copic, non-invasive, and catheter-guided method. For the patients in whom tube exchanges through the previous fistula of PEG were impossible due to various reasons . This method could be performed successfully in 21 of 25 patients. Before considering replacement of PEG in patients with reinsertion difficulties, less invasive method as described here can be recommended.