Gabriel D. Lang, MD, Daniel K. Mullady, MD, Vladimir M. Kushnir, MD

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Presentation transcript:

A novel through-the-snare technique for percutaneous endoscopic gastrojejunostomy tube placement Gabriel D. Lang, MD, Daniel K. Mullady, MD, Vladimir M. Kushnir, MD VideoGIE Volume 2, Issue 9, Pages 225-226 (September 2017) DOI: 10.1016/j.vgie.2017.04.005 Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 A, A 24F PEG tube is placed. B, A snare is opened through the previously placed PEG tube. C, The gastroscope is advanced through the open snare and into the small bowel. D, A long guidewire is advanced through the working channel of the endoscope into the small bowel and is then exchanged as the endoscope is withdrawn. E, As the endoscope is removed, the guidewire is left through the open snare. F, The snare is closed and pulled through the PEG tube. G, The end of the guidewire not within the small bowel is pulled back to allow passage of the jejunal feeding tube into the small bowel. H, The jejunal extension is advanced into the small bowel. I, Jejunal extension tubing is in place with no loop in stomach. VideoGIE 2017 2, 225-226DOI: (10.1016/j.vgie.2017.04.005) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions