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Fig. 1 | BMC Neurology

Fig. 1

From: PEG-J replacement for duodenal levodopa infusion in Parkinson’s disease patients: a retrospective study

Fig. 1

(A) Scheme illustrating the «pull» technique.1 Transesophageal removal of old PEG-J via endoscopy.2 New gastric tube, connected to a guide wire, is pulled from stoma under gastroscopy.3 Endoscopic placement of jejunal tube, (B) Scheme illustrating the «push» technique. 4 Insertion of a guide wire into the lumen of the old PEG-J.5 After deflation ofthe internal bumper, the old PEG-J is removed from the stoma, while the wire is kept in situ.6 New PEG-J is fed over the wire, through stoma, under fluoroscopic guidance.The figure is our own.

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BMC Neurology

ISSN: 1471-2377

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