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Fig. 1. Photograph of gastrostomy catheters used in our study. Shown at top of photograph is 18-French single-use balloon-retained replacement gastrostomy catheter (Microvasive; Boston Scientific, Nattick MA). At bottom of photo is 20-French removable mushroom-retained catheter (Pull-PEG; Medical Innovations, Draper, UT), which is pulled by snare from patient's mouth into stomach. Plastic dilator is then removed, and feeding adapter and skin bolster are attached.