Related Experiment Videos
Laparoscopy-assisted percutaneous endoscopic gastrostomy using a "Funada-kit II" device
Toshiaki Takahashi1, Go Miyano, Satoko Shiyanagi
1Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Pediatric Surgery International
|September 4, 2012
Summary
The Funada-kit II device significantly reduces operating time for laparoscopy-assisted percutaneous endoscopic gastrostomy (Lap-PEG), making the procedure faster without compromising safety. This innovation streamlines the gastropexy process.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Devices
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
- Laparoscopy-assisted PEG (Lap-PEG) offers improved visualization and gastric manipulation.
- Suturing the stomach to the abdominal wall is a critical step in Lap-PEG.
Purpose of the Study:
- To evaluate the efficacy and safety of the Funada-kit II device in Lap-PEG procedures.
- To compare the outcomes of Lap-PEG using the Funada-kit II (F-PEG) versus conventional Lap-PEG.
Main Methods:
- Retrospective review of 29 Lap-PEG cases (2001-2011).
- Comparison between conventional Lap-PEG (n=23) and F-PEG using the Funada-kit II (n=6).
- Analysis of operative time, complications, and post-operative recovery metrics.
Main Results:
- F-PEG group showed a significantly shorter mean operating time (28.1 min) compared to conventional Lap-PEG (46.1 min) (p < 0.05).
- Both methods demonstrated similar safety profiles, with no intraoperative complications in either group.
- Postoperative recovery parameters, including analgesia duration and time to feeding, were comparable between the groups.
Conclusions:
- The Funada-kit II device is a safe and effective tool for enhancing Lap-PEG procedures.
- Utilizing the Funada-kit II significantly reduces operative time, offering a more efficient approach to gastropexy.
- F-PEG presents a valuable alternative for improving procedural efficiency in laparoscopic gastrostomy placement.
Related Concept Videos
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
01:28Endoscopic Procedures III: Video Capsule Endoscopy
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...