Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach. Issue 4 (12th January 2020)

• Record Type: Journal Article
• Authors: Sayadi Shahraki, Masoud; Berjis, Nezamoddin; Bighamian, Afshin; Mahmoudieh, Mohsen; Shahabi Shahmiri, Shahab; Sheikhbahaei, Erfan
• Is Part Of: Asian journal of endoscopic surgery. Volume 13:Issue 4(2020)
• Page Start: 610
• Page End: 613
• Publication Date: 2020-01-12
• Subjects: gastrostomy -- intestinal nutrition -- laparoscopy; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12780
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: 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.