PEG Placement Technique

g The anesthesia needle is withdrawn, and a small skin incision is made h The proposed puncture site is observed

i The puncture needle is carefully pushed through the abdominal wall j The puncture needle is identified

(hollow metal stylet with outer plastic cannula)

k The stylet is withdrawn while the plastic cannula is carefully ad vanced

l The plastic cannula is visualized, and a snare is looped around it

m The passing suture is threaded through the cannula into the stomach n The passing suture is snared

o The assistant carefully feeds the suture from outside the abdomen p The suture is pulled back with the en doscope

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