Fundamentals of Endoscopic Surgery (FES) Written Practice Exam

The pull technique is specifically designed for the placement of percutaneous endoscopic gastrostomy (PEG) tubes through the use of a looped guidewire. In this technique, a pull PEG is attached to the looped guidewire, which facilitates the passing of the PEG tube from the abdominal surface into the stomach. The pull technique emphasizes the idea of "pulling" the feed tube into position once the guidewire is correctly positioned within the gastrointestinal tract. This method is particularly advantageous as it ensures accurate placement with minimal trauma to the surrounding tissues.

Understanding the mechanics of this technique highlights its efficiency and safety in endoscopic procedures, particularly in scenarios where precision is paramount, such as in patients requiring long-term nutritional support. By leveraging the looped guidewire, the pull technique enhances the ease of securing the PEG tube in place while minimizing complications associated with improper placement.