Video Endoscopic Sequence 1 of 6.

Percutaneous Endoscopic Gastrostomy

A 78 year-old female that has impaired her swallowing due to a Parkinson disease.

The most common indications for PEG are neurologic conditions associated with impaired swallowing and neoplasms of the oropharynx, larynx and esophagus. Other indications include facial trauma and the need for supplemental feedings in patients with miscellaneous catabolic conditions.

For more endoscopic details download the video clips of
the entire sequence by clicking on the endoscopic images.
All endoscopic images shown in this Atlas contains
video clips.

Video Endoscopic Sequence 2 of 6.

Endoscopic view of the wire being threaded through the cannula.
The most widely used technique of PEG is the "pull" method.

Video Endoscopic Sequence 3 of 6.

Endoscopic view of the wire being grasped with the snare.

The basic elements common to all of these techniques are:
(1) gastric insufflation to bring the stomach into apposition to the abdominal wall;
(2) percutaneous placement of a tapered cannula into the stomach;
(3) passage of a suture or guidewire into the stomach;
(4) placement of the gastostomy tube; and verification of the proper position.

Video Endoscopic Sequence 4 of 6.

Endoscopic view of the percutaneus endoscopic gastrostomy tube´s internal bolster after correct placement.

Video Endoscopic Sequence 5 of 6.

A close up of the gastrostomy tube.

Video Endoscopic Sequence 6 of 6.

Another endoscopic view. 

Video Endoscopic Sequence 1 of 3.

Percutaneous Endoscopic Gastrostomy, the sequence of this procedure is carry out in the images and video clips. Local anesthesia is followed by an injection with xylocaine.

Video Endoscopic Sequence 2 of 3.

Percutaneous Endoscopic Gastrostomy is carry out in a female patient that suffered a stroke, as a sequel, her swallowing function was altered. The video clip display the catheter with a nylon thread and biopsy forcep which takes the nylon thread to her mouth.

Video Endoscopic Sequence 3 of 3.

The PEG tube stands for percutaneous (though the skin). Endoscopy Gastrostomy (stomach tube). A hand made gastrostomy device from a perzzev catheter is introduced from her mouth to her gastric body then it placed in the stomach wall.

Perzzev Catheter.

That catheter was placed under a laparotomy of a gastric carcinoma.
The video clip displays a secretion coming from washing the proximal tip.

See the video sequence of this case of gastric carcinoma.