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That type of tube is often used as the first tube in a PEG procedure by old school doctors. I have no idea why a radiologist trained in the new PRG/RIG procedure would use one, but a tube with a mushroom end or a solid bolster or flange won't be pushed through the newly made tract from the skin to the stomach. I would be too large and damaging to the fresh tract and stoma. Sometimes they are pulled out that way but OUCH! My doctor won't do it that way because I am on coumadin.
 
I don't think I had anything different from standard operating procedure up here. I had my bipap ready, but things moved so quickly I didn't use it. It wasn't the most pleasant thing, but it was fast. Maybe we do things differently up here in Canada.
Vincent
 
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