Polytetrafluoroethylene (Gore-Tex) tube used as a support conduit in open gastrostomy: Report of a new technique

Bakhshaeekia, Alireza; Yarmohammadi, Hooman; Abbasi, Hamidreza

doi:10.1016/j.ijsu.2009.09.015

Cited by 1 publication

(3 citation statements)

References 13 publications

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“…Severe scoliosis, adhesion bands due to previous stomach or upper abdominal surgery, and varicose veins of the distal esophagus can cause technical difficulties as well. [3][4][5][6][7][8][9] Metastasis, presumably secondary to cancerous cell implantation, is a rarely reported complication of PEG insertion. [14][15][16][17] The pull method, which is used in the laparoscopic techniques, enables full control of the abdominal wall; it improves visualization of the abdominal cavity and facilitates safe GT insertion and fastening without the need to pass the endoscope through the esophagus or use transillumination.…”

Section: Discussionmentioning

confidence: 99%

“…Severe obesity, a hiatal hernia involving a large part of the stomach, and hepatomegaly interfere with trans‐illumination. Severe scoliosis, adhesion bands due to previous stomach or upper abdominal surgery, and varicose veins of the distal esophagus can cause technical difficulties as well . Metastasis, presumably secondary to cancerous cell implantation, is a rarely reported complication of PEG insertion …”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Shahraki

Berjis

Bighamian

et al. 2020

Asian J Endoscop Surgery

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Introduction: Percutaneous endoscopic gastrostomy (PEG) is the most common way of inserting a gastrostomy tube. If PEG is not appropriate for a patient, then the laparoscopic or open technique should be used. Here, we introduce a new laparoscopic technique for inserting a gastrostomy tube. Material and Surgical Technique: We used this new laparoscopic approach in 21 patients for whom PEG was not suitable. After marking on the abdominal skin and inserting the trocars, two 2-0 silk sutures were passed. Two stitches were placed 2 cm apart in the stomach with one hand. Each suture was pulled out with the fascia closure, the stomach was pulled out with a Babcock, and a purse-string suture using a round 2-0 silk suture was placed outside the stomach, creating a mushroom-retained gastrostomy. Conclusion: This new laparoscopic technique is minimally invasive. It provides full control through only two trocars and required smaller incisions than common laparoscopic approaches. This method can be used to insert a gastrostomy tube in indicated patients when PEG placement is not suitable.

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