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Percutaneous endoscopic gastrostomy (PEG) has so many complications, such as haemorrhage and gastrocutaneous fistula, and can be treated with several common procedures. When the common procedures are not successful, we must perform new procedures, such as eFe technique. We use this technique for gastrostomy tube removal at the same session to prevent fistula formation in our clinical practice. Sometimes, leakage beside the gastrostomy tube can be seen during feeding from PEG; we also treat this problem with the same eFe technique in our clinic. We used this technique for the treatment of hemorrhage due to PEG for the first time when could not control with routine procedures and became successful.

Endoscopic percutaneous suturing (eFe technique) in massive bleeding due to percutaneous endoscopic gastrostomy