Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Abstracts of presentations to the Annual Meetings of the Canadian Society of Colon and Rectal Surgeons Canadian Association of General Surgeons Canadian Association of Thoracic Surgeons: Canadian Surgery Forum, Toronto, Ont., September 6-9, 2007.

Canadian journal of surgery. Journal canadien de chirurgie·2023
Same author

Comment on: Acid and non-acid gastroesophageal reflux after single anastomosis gastric bypass.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery·2018
Same author

Malabsorption of medications after bypass surgery.

Canadian Medical Association journal·2010
Same author

Inter-disciplinary European guidelines on surgery of severe obesity.

International journal of obesity (2005)·2007
Same author

It's a fat, fat, fat, fat world!

Obesity surgery·2004
Same author

The breadth of "obesity".

Obesity surgery·2003

Related Experiment Video

Updated: Jun 17, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Percutaneous endoscopic gastrostomy by the "pull" and "introducer" methods.

M Deitel1, M Bendago, E H Spratt

  • 1Department of Surgery, University of Toronto, Ont.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|March 1, 1988
PubMed
Summary

The Russell "introducer" percutaneous endoscopic gastrostomy (PEG) method is faster and has fewer infections than the Ponsky "pull" PEG technique. Both PEG methods are quicker and allow earlier feeding than traditional Stamm gastrostomy.

More Related Videos

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy
10:09

Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy

Published on: March 17, 2026

Related Experiment Videos

Last Updated: Jun 17, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy
10:09

Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy

Published on: March 17, 2026

Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Medical Device Technology

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
  • Different PEG techniques exist, including the "pull" and "introducer" methods.
  • Comparison with traditional Stamm gastrostomy is important for optimizing patient care.

Purpose of the Study:

  • To compare the efficacy and safety of the Ponsky "pull" PEG technique versus the Russell "introducer" PEG method.
  • To evaluate the performance of both PEG techniques against the Stamm gastrostomy.
  • To identify potential differences in procedure time, feeding initiation, and complication rates.

Main Methods:

  • Prospective study of 28 "pull" PEG patients and 28 "introducer" PEG patients.
  • Retrospective comparison with 28 prior Stamm gastrostomy patients.
  • All procedures performed by the same surgical team within a 5-year period.

Main Results:

  • "Introducer" PEG required less operative time than "pull" PEG, which was faster than Stamm gastrostomy.
  • Feeding was initiated 24 hours post-PEG versus 3 days post-Stamm gastrostomy.
  • "Introducer" PEG showed no peristomal infections; "pull" PEG had infections potentially linked to oropharyngeal bacteria.

Conclusions:

  • The Russell "introducer" PEG technique is a faster and potentially safer alternative to the "pull" PEG method.
  • Both PEG techniques offer advantages over Stamm gastrostomy in terms of speed and feeding initiation.
  • Further investigation into the cause of peristomal infections in "pull" PEG is warranted.