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[Celioscopic gastrostomies and jejunostomies]
J P Chambon1, A Wurtz, A Saudemont
1Clinique Chirurgicale Adultes Ouest A, Hôpital Claude Huriez, Lille.
Annales De Chirurgie
|January 1, 1993
Summary
Laparoscopic gastrostomy and jejunostomy offer a safe and effective alternative to open surgery for enteral feeding. This minimally invasive technique is particularly beneficial when endoscopic procedures are not feasible or when aspiration risk is high.
Area of Science:
- Minimally Invasive Surgery
- Gastroenterology
- Surgical Techniques
Context:
- Laparoscopic procedures for enteral feeding are increasingly explored.
- Traditional open gastrostomy and jejunostomy carry inherent risks.
- Endoscopic gastrostomy may not be suitable for all patients.
Purpose:
- To describe a laparoscopic technique for gastrostomy and jejunostomy.
- To evaluate the safety and efficacy of this laparoscopic approach.
- To compare laparoscopic gastrostomy and jejunostomy outcomes.
Summary:
- A technique for laparoscopic gastrostomy (LG) and jejunostomy (LJ) was applied to 23 patients.
- No operative deaths occurred; complications were low (1 intraoperative, 3 postoperative).
- Mean feeding tube use was 4 months for LG and 43 days for LJ, with manageable secondary complications.
Impact:
- Laparoscopic gastrostomy and jejunostomy provide an effective, reliable alternative to open surgery.
- This technique is viable when endoscopic gastrostomy is impossible.
- Laparoscopic jejunostomy is recommended over gastrostomy when aspiration risk is present due to its simplicity.