UGI Stomach Duodenum-LEVER ACCESS TECHNIQUE AS SALVAGE WHEN TRADITIONAL NEEDLE ACCESS FOR PEG FAILS

LEVER ACCESS TECHNIQUE AS SALVAGE WHEN TRADITIONAL NEEDLE ACCESS FOR PEG FAILS

Video Transcription

Video Summary

In this video, the lever access technique is discussed as an alternative to traditional needle access for percutaneous endoscopic gastrostomy (PEG) tube placement when the traditional method fails. The video presents a case of an 82-year-old man with a PEG tube who experienced leakage around the tract despite various interventions. The video shows the removal of the old PEG tube and the use of a plastic catheter as a lever to reorient the stomach for a new site. The PEG tube is then successfully placed using the pull technique. Closure of the existing tract is achieved through argon-plasma coagulation and endoscopic suturing. The video concludes that the lever access technique is a safe and effective option when traditional PEG access is inadequate. No author information or credits are provided.

Asset Subtitle

Honorable Mention

Keywords

lever access technique

traditional needle access

percutaneous endoscopic gastrostomy

PEG tube placement

leakage around the tract