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Surgical Endoscopy
Published in: Surgical Endoscopy 2/2006

01-02-2006

SLiC technique

A novel approach to percutaneous gastrostomy

Authors: A. Sabnis, R. Liu, B. Chand, J. Ponsky

Published in: Surgical Endoscopy | Issue 2/2006

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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.
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Metadata
Title
SLiC technique
A novel approach to percutaneous gastrostomy
Authors
A. Sabnis
R. Liu
B. Chand
J. Ponsky
Publication date
01-02-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 2/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0383-3

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