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Related Experiment Videos

Laparoscopic-assisted percutaneous endoscopic gastrostomy

G Stringel1, E R Geller, M S Lowenheim

  • 1Department of Surgery, New York Medical College, Westchester County Medical Center, Valhalla 10595, USA.

Journal of Pediatric Surgery
|August 1, 1995
PubMed
Summary
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Laparoscopic-assisted percutaneous endoscopic gastrostomy (LAPEG) offers a successful alternative for children when standard PEG fails. This combined endoscopic and laparoscopic approach ensures safe gastrostomy placement, reducing reflux risk.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Minimally Invasive Procedures

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding in children.
  • Standard PEG placement can be challenging in certain pediatric cases, leading to failure.

Observation:

  • Two pediatric patients experienced failed attempts at simple percutaneous endoscopic gastrostomy.
  • Laparoscopic-assisted percutaneous endoscopic gastrostomy (LAPEG) was subsequently employed in both cases.

Findings:

  • LAPEG, a hybrid technique combining laparoscopy and upper gastrointestinal endoscopy, was successfully performed in both children.
  • Direct visualization during LAPEG allowed precise gastrostomy tube placement along the lesser gastric curvature.

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Implications:

  • LAPEG provides a viable and effective solution for pediatric patients with difficult PEG access.
  • Minimizing manipulation and ensuring accurate placement via LAPEG may reduce the incidence of gastroesophageal reflux post-procedure.