Figure 1. Endoscopic imaging of PEG using the introducer technique in this patient. (a) After determining the puncture site, local anesthesia was applied and gastropexy was performed using a gastropexy device. (b) Gastropexy procedure was repeated at least three times surrounding the intended puncture site in a triangular pattern before the puncture needle/trocar was inserted. (c) The puncture needle was then removed. (d) A 20 Fr size gastrostomy tube was inserted into the gastric lumen.
