Incision Usually performed through a small (6-8 cm) upper midline incision but can be performed through a upper left lateral horizontal incision also. Surgical Details of the Procedure 1. The incision is made in the skin with a No. 10 blade. 2. Dissection is done through the subcutaneous tissue with Bovie electrocautery. 3. The midline Continue Reading
Laparoscopic Technique
Surgical Details of Procedure
1. A 10 mm incision is made in the supraumbilical area.
Indications
Feeding – there are several groups of patients that receive PEG tubes. One group is patients with disruption, obstruction (from cancer), or malfunction (achalasia, multiple sclerosis, scleroderma) of the esophagus. Patients with severe head trauma with residual deficits at risk of aspiration are candidates. Additional patients who can not take normal feeds and may require PEG tubes are patients on the ventilator, spinal cord injury patients, dementia patients, and cerebral palsy patients.
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