Abstract
A total of 12 cases (7 women, 5 men; mean age 63.5 years old) were enrolled from September 2010 to September 2011. All were patients with amyotrophic lateral sclerosis (ALS) and limited mouth opening. The 10-cc syringe was cut to a length of 4.5 cm with a compass saw, and the cut surface (1.5 cm wide) was smoothed with sandpaper ([Fig. 1]). PEG was performed using a standard upper endoscope (GF-260; Olympus, Tokyo, Japan) and gastrostomy set (PEG-24-PULL-S; Cook Medical, Bloomington, Indiana, USA).
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