Prospective Multicenter long term follow up results of new introducer percutaneous endoscopic gastrostomy method with gastropexy in 89 patients

Aims: Gauderer's pull PEG is the most commonly used method for performing endoscopic gastrostomy, but may not be possible in certain patients with aero-digestive cancers due to distortion of the upper digestive passage. These patients have advanced malignancies, severely malnourished. Also pull PEG may cause tumor seeding at the peristomal site and higher incidence of PEG site infections because of the passage of the inner bumper through oropharynx. To overcome these issues a new introducer technique has been in use, which avoids the sojourn of PEG catheter through the oropharynx. A prospective follow up study w…