Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Laparoscopic assisted percutaneous endoscopic gastrostomy

M F Scheer¹, B W Miedema

¹Department of Surgery, University of Missouri Hospital and Clinics, Columbia, USA.

Surgical Laparoscopy & Endoscopy

|December 1, 1995

Summary

Laparoscopic assisted percutaneous endoscopic gastrostomy (PEG) offers a safe alternative when standard PEG fails. This technique helps place gastrostomy tubes in patients where upper endoscopy is possible but PEG alone is not feasible.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Transgastric biologic mesh delivery and abdominal wall hernia repair in a porcine model.

Endoscopy·2009

Same author

Retrorectus polyester mesh repair for midline ventral hernias.

Hernia : the journal of hernias and abdominal wall surgery·2009

Same author

Evaluation of a novel endoluminal stapling procedure to restrict the lower esophageal sphincter and reduce reflux.

Endoscopy·2008

Same author

Endoscopic colotomy closure after full thickness excision: comparison of T fastener with multiclip applier.

Endoscopy·2008

Same author

Laparoscopic ventral hernia repair.

Surgical endoscopy·2004

Same author

A prospective trial of primary inguinal hernia repair by surgical trainees.

Hernia : the journal of hernias and abdominal wall surgery·2003

Area of Science:

Gastroenterology
Minimally Invasive Surgery

Background:

Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
Standard PEG placement can fail in certain patients, particularly when intra-abdominal organ visualization is limited.

Observation:

A distinct indentation in the stomach is crucial for safe standard PEG placement.
When this is absent, alternative methods are needed to ensure successful gastrostomy tube insertion.

Findings:

A novel technique of laparoscopic-assisted PEG was developed and successfully performed in three patients.
This method involves percutaneous needle placement into the stomach under combined laparoscopic and gastroscopic guidance, followed by wire insertion and PEG completion.

Implications:

Laparoscopic-assisted PEG provides a viable solution for patients with failed PEG attempts.
This technique enhances safety and success rates for gastrostomy tube placement when standard methods are contraindicated or unsuccessful.

Related Experiment Videos