Evaluation of two different methods for per-oral gastrostomy tube placement in patients with motor neuron disease (MND): PIG versus PEG procedures.

@article{Chavada2010EvaluationOT,
  title={Evaluation of two different methods for per-oral gastrostomy tube placement in patients with motor neuron disease (MND): PIG versus PEG procedures.},
  author={Govindsinh Chavada and Ayman El-Nayal and Fred Lee and Stephen J Webber and M E Mcalindon and Theresa Walsh and Hannah C. Hollinger and Christopher J Mcdermott and Pamela J Shaw},
  journal={Amyotrophic lateral sclerosis : official publication of the World Federation of Neurology Research Group on Motor Neuron Diseases},
  year={2010},
  volume={11 6},
  pages={531-6}
}
Placement of a gastrostomy tube remains the gold standard procedure to maintain nutrition in patients with motor neuron disease (MND) and bulbar muscle weakness. Percutaneous endoscopic gastrostomy (PEG) is the most commonly used procedure in this context. Per-oral image guided gastrostomy (PIG) is a new hybrid technique used successfully in non-MND patients. We have modified the PIG technique to improve patient tolerability and have undertaken a pilot evaluation of PIG compared to PEG in MND… CONTINUE READING