Endo-drgan surgery: a new approach to intragastric lesions

Gastric endo-organ surgery is a minimally invasive procedure combining the use of gastroesophageal endoscopy and laparoscopy to approach intragastric problems that require surgical intervention. The advantages include: less scarring; shorter hospital stays; and less postoperative discomfort than conventional laparotomy. The technique requires placement of two or three percutaneous endoscopic gastrostomies in various positions on the gastric wall. Filipi et al. developed a percutaneous endoscopic gastrostomy (PEG) that is large enough to allow the use of 5 and 10mm laparoscopic instruments for intragastric surgery. In this article we review the complications related to the introduction of this access port.