A technique using V-shaped transmural suture fixation in percutaneous endoscopic gastrostomy.

A new method of percutaneous endoscopic gastrostomy (PEG) using V-shaped transmural suture fixation was performed on 2 patients with advanced carcinoma. This method secures the gastrostoma in a way superior to the conventional technique. It facilitates exchange of the catheter and avoids potential morbidity caused by peritoneal leakage even when tube feeding has been initiated in the early post-insertion stage. Inadvertent complications of hematoma formation and necrotizing fasciitis can also be prevented.