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Case 60: The difficult PEG tube insertion

This is an excerpt of operative video recorded through the laparoscope. The procedure is a laparoscopically assisted PEG tube insertion. When the laparoscope is withdrawn you can see the other operator (Mr Richard Cade) who is similtaneously performing an gastroscopy.

1.What would be the indication for this procedure being performed?

2.What are the risks of blindly attempting PEG tube insertion when stomach localisation is difficult?