Which approach utilizes T-fasteners for PEG placement, particularly in patients with specific malignancies?

The Russell approach is specifically designed for percutaneous endoscopic gastrostomy (PEG) placement and is notable for the use of T-fasteners. This approach is beneficial in patients who have certain malignancies, as it helps create an adequate and secure anchorage of the PEG tube to the stomach wall, minimizing the risk of dislodgement. The T-fasteners provide additional stability and support, especially in patients with challenging anatomy or disease processes that may compromise the normal anchoring mechanisms of a PEG tube.

In situations where traditional securing methods may be inadequate, the Russell approach and the use of T-fasteners can enhance the effectiveness and safety of the PEG placement in patients with malignancies. The approach is designed to be less invasive while ensuring that the nutritional access point remains securely in place, which is critical in managing feeding needs for patients who may have gastrointestinal involvement from their malignancy.