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Gastrostomy feeding tubes are used in children to manage feeding difficulties of a variety of causes.1 Several methods for gastrostomy insertion are described, including percutaneous endoscopic gastrostomy (PEG),2 laparoscopic-assisted, radiological or open surgical placement. The PEG ‘pull’ technique is performed without intraperitoneal visualisation of the stomach puncture and so may be associated with injury to other organs, most …
Contributors SDA and DB wrote the main text and MPS reviewed and edited. AT and RMB contributed to review and comment as well as to the clinical care of the child.
Competing interests None.
Patient consent Obtained from the parents.
Provenance and peer review Not commissioned; externally peer reviewed.