Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy Tube Placement

Abstract

In those cases where a PEG tube cannot be placed safely, a laparoscopic-assisted technique may be a viable option to complete the procedure.

Postoperative complications following percutaneous endoscopic gastrostomy are common in children

“…The pull‐through (pull PEG) method, first described by Gauderer in 1980, is the most common procedure . Other procedures include the laparoscopic‐assisted PEG (LAP PEG) and push methods. Gastrostomy placement by laparotomy may be necessary in children that have undergone previous gastrointestinal surgery or those with oesophageal malformation.…”

Endoscopic solutions to challenging enteral feeding problems

“…Many reports of laparoscopic assisted PEG and PEJ placement have been reported using both the push and pull methods [22,23]. A single umbilical laparoscopic port and sometimes one or two other additional ports are used to identify the best location for tube placement.…”

Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach

“…1,4 For long-term gastrointestinal access and decompression, percutaneous endoscopic gastrostomy (PEG) is currently the most commonly used method. [4][5][6] However, it is not feasible in some situations, [3][4][5][6][7][8][9] so surgeons must choose either a laparoscopic or open technique to place the GT. Since the 1990s, laparoscopic equipment and techniques have advanced, enabling gastrostomy to be performed using minimally invasive approaches, and many modified techniques have been reported.…”