1994
DOI: 10.1007/bf02909493
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Laparoscopic gastrostomy versus percutaneous endoscopic gastrostomy

Abstract: A retrospective study was carried out at our institution to compare patients who underwent percutaneous endoscopic gastrostomy (PEG) to those who underwent laparoscopic gastrostomy (LG). There were 17 patients who had a PEG with a mean age of 81 years (43-97 years). The procedure time, including complete esophago-gastroduodenoscopy, averaged 28 min. There were four deaths (23%) in a 30-day period, but none of these were directly related to the procedure. The LG group consisted of 14 patients with a mean age of… Show more

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Cited by 44 publications
(29 citation statements)
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“…8,9 A laparoscopic technique was introduced in the early 1990s. [10][11][12] Meanwhile, percutaneous endoscopic gastrostomy (PEG) has almost entirely displaced surgical gastrostomy (SG) in clinical practice, because the procedure is carried out more easily and without general anesthesia in this usually elderly, high-risk patient population; in addition, it avoids the mortality and morbidity associated with laparotomy. 9,13 Despite the minor invasiveness of endoscopic place- ment of percutaneous feeding tubes, [14][15][16] major and minor complications remain a topical problem.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…8,9 A laparoscopic technique was introduced in the early 1990s. [10][11][12] Meanwhile, percutaneous endoscopic gastrostomy (PEG) has almost entirely displaced surgical gastrostomy (SG) in clinical practice, because the procedure is carried out more easily and without general anesthesia in this usually elderly, high-risk patient population; in addition, it avoids the mortality and morbidity associated with laparotomy. 9,13 Despite the minor invasiveness of endoscopic place- ment of percutaneous feeding tubes, [14][15][16] major and minor complications remain a topical problem.…”
Section: Discussionmentioning
confidence: 99%
“…25 Edelman et al 10,11 published a new promising laparoscopic approach in 1991. One of the main advantages of this technique 12 is its application in patients in whom endoscopy is not possible because of impassable obstructions from tumors in the pharyngoesophageal region or facial trauma.…”
Section: Commentmentioning
confidence: 99%
“…Magersucht) vorliegen. Mit der Weiterentwicklung minimal invasiver endoskopischer Methoden [15][16][17] war es nahe liegend, die operativen Verfahren der Gastrostomieanlage nach Witzel oder Stamm und Kader im Laufe der Zeit perkutan endoskopisch zu realisieren. Die PEG hat sich seitdem zu einer weit verbreiteten Methode entwickelt [18] und die konventionellen operativen Verfahren weitgehend ersetzt.…”
Section: Langzeitergebnisse Peg-sondenentfernungen Gewichtsveränderunclassified
“…5 Feeding gastrostomies can be inserted percutaneously under direct vision using an endoscope (percutaneous endoscopic gastrostomy) 6,7 under radiological guidance, 8 or using a conventional open/laparoscopic surgical approach. 9 The presence of a malignancy of the upper aerodigestive tract introduces the potential for iatrogenic complications additional to those usually associated with percutaneous endoscopic gastrostomy placement. Specifically, seeding of tumour from the upper aerodigestive tract creating abdominal wall metastasis, 10 and airway obstruction due to the presence of tumour directly occluding the airway when a patient is sedated for the procedure.…”
mentioning
confidence: 99%