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Endoscopic Ryles Tube Placement

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Endoscopic Ryles Tube Placement  is  performed  usually  in  sick  patients  who  are unconcious  or  in  surgical  patients  or  in  those  with  malignancy  of  esophagus  or  anastamotic  leak  in  esophagus. This  is  usually  a  last  resort  if  regular  placement  of  ryles  tube  has  failed  by  a  good  physician  or  anesthetist  despite  use  of  megills  forceps. Endoscopically  a  guide  wire  is  first  placed  in  the  appropriate  lumen  and  RT  is  thereafter  placed  Over  the  guidewire. Then  it  is  repositioned  through  the  nose. Majority  of  patients  now  are  shifted  to  Percutaneous  Endoscopic  Gastrostomy  if  long  term  feeding  is needed.

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