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[Janeway laparoscopic gastrostomy]

G Meyer1, H Rau, T Strauss

  • 1Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|July 1, 1995
PubMed
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Percutaneous endoscopic gastrostomy is preferred, but laparoscopic Janeway gastrostomy offers advantages in tumor patients. This effective, safe, and simple method provides good palliation with minimal nursing care.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Minimally Invasive Surgery

Context:

  • Percutaneous endoscopic gastrostomy (PEG) is the primary method for gastrostomy creation.
  • Laparoscopic access is recommended over laparotomy when PEG is not feasible.
  • Tumor patients may benefit from specific gastrostomy techniques.

Purpose:

  • To describe the technique of laparoscopic Janeway gastrostomy.
  • To discuss the outcomes of 5 patients undergoing this procedure.
  • To compare laparoscopic Janeway gastrostomy with Kader-Stamm fistulas in tumor patients.

Summary:

  • The laparoscopic Janeway gastrostomy is presented as a viable alternative when percutaneous endoscopic gastrostomy is not possible.
  • The technique was successfully applied in 5 tumor patients without complications.

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  • This method is highlighted for its effectiveness, safety, simplicity, and ease of care.

    • Impact:

    • The laparoscopic Janeway gastrostomy is a valuable palliative option for gastrostomy creation, particularly in oncological cases.
    • The procedure demonstrates favorable outcomes, suggesting its potential for wider adoption.
    • Its ease of use and low nursing requirements contribute to efficient patient management.