A new device for the introducer technique for percutaneous endoscopic gastrostomy placement

A new large-caliber trocar for percutaneous endoscopic gastrostomy by the introducer technique in head and neck cancer patients

“…Our aim was to describe the safety and efficacy of a new and simple trocar [20], which allows the placement of a 20-Fr feeding tube by the introducer PEG technique in HNC patients who require nutritional support.…”

“…The new trocar device has previously been described by our group [20]. Briefly, it consists of a stainless steel, 10-mm trocar with a lateral fissure, and an obturator with a distal conical tip (• " Fig.…”

“…It is probable that the need for early gastrostomy dilation and feeding tube change involves increased costs and imposes a burden on a busy endoscopy unit. The 10mm trocar with lateral opening and obturator with conical tip facilitate the easy passage of a 20-Fr ballooned gastrostomy tube [20]. It is a general perception that larger-diameter feeding catheters of 20 Fr are related to reduced risk of tube obstruction [7,18,19,28,36], although this concept has not been addressed by controlled studies.…”