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Laparoscopic Percutaneous Endoscopic Gastrostomy Is Useful for Elderly
Tetsuya Tanaka1, Takeshi Ueda1, Takashi Yokoyama1
1Department of Surgery, Minami-Nara General Medical Center, Nara, Japan.
Laparoscopically assisted percutaneous endoscopic gastrostomy (LAPEG) is a safe and feasible method for elderly patients requiring enteral nutrition. This technique allows direct observation, preventing complications during gastrostomy tube placement.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Geriatric Medicine
Background:
- Percutaneous endoscopic gastrostomy (PEG) is common for enteral nutrition.
- PEG procedures carry risks of organ mispuncture.
- Laparoscopically assisted PEG (LAPEG) was developed for difficult cases.
Purpose of the Study:
- To assess the feasibility and safety of LAPEG in elderly patients (over 65).
Main Methods:
- Retrospective evaluation of 7 elderly patients who underwent LAPEG over 2 years.
- Analysis of perioperative outcomes, complications, and postoperative course.
Main Results:
- Successful LAPEG in all 7 elderly patients (mean age 81.1 years).
- Median operation time was 38 minutes.
- No intraoperative or postoperative complications were observed.
Conclusions:
- LAPEG is feasible and safe for elderly patients.
- Direct visualization of the intraperitoneal cavity ensures organ safety during LAPEG.
- This method prevents complications associated with PEG placement.
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