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- Title
SLiC technique.
- Authors
Sabnis, A.; Liu, R.; Chand, B.; Ponsky, J.
- Abstract
Background: Percutaneous endoscopic gastrostomy (PEG) has been an invaluable method for obtaining long-term enteral access and represents one of the first forays in the field of minimally invasive surgery. However, the traditional ‘pull’ method for PEG tube placement continues to have some disadvantages, especially in patients with near-obstructive head and neck cancers. Methods: We describe a new ‘SLiC‘ technique for establishing percutaneous gastrostomy using a radially expandable trocar. Results: This technique is initially developed and refined on a porcine model and then successfully implemented on five human patients. Conclusion: The SLiC technique can be done safely and efficiently with a pediatric-sized gastroscope and avoids the need for radiation from fluoroscopy. It is a good alternative for obtaining enteral access in patients who would otherwise not be well suited for a traditional PEG tube.
- Subjects
PERCUTANEOUS endoscopic gastrostomy; FLUOROSCOPY; CANCER patients; HEAD &; neck cancer; STOMACH surgery; GASTROSCOPES; GASTROSCOPY
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2006, Vol 20, Issue 2, p256
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-005-0383-3