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Laparoscopic gastrostomy according to Janeway

J P Ritz1, C T Germer, H J Buhr

  • 1Department of General, Vascular and Thoracic Surgery, University Hospital Benjamin Franklin, Free University of Berlin, Hindenburgdamm 30, 12200 Berlin, Germany.

Surgical Endoscopy
|June 5, 1998
PubMed
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Laparoscopic Janeway gastrostomy offers a safe alternative for patients needing enteral alimentation due to impassable tumors. This minimally invasive technique provides a continent gastrostoma with few complications.

Area of Science:

  • Surgical Oncology
  • Gastroenterology

Background:

  • Percutaneous endoscopic gastrostomy is not universally suitable for all patients requiring gastrostomies.
  • Patients with endoscopically impassable tumors need alternative methods for paraesophageal alimentation.

Purpose of the Study:

  • To present the surgical technique and outcomes of laparoscopic Janeway gastrostomy.
  • To evaluate the safety and efficacy of this procedure for patients with upper aerodigestive tract tumors.

Main Methods:

  • Laparoscopic gastrostomy was performed using an endoscopic stapling device to create a gastric tube.
  • The gastric tube was exteriorized through a trocar site and secured to the skin.
  • Enteral alimentation was administered via an inserted catheter, ensuring gastrostoma continence.

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Main Results:

  • The procedure was performed on 15 patients (10 male, 5 female) with pharyngeal or esophageal tumors.
  • Mean operation time was 35 minutes.
  • One case of stoma necrosis occurred; all other patients had complication-free postoperative courses. All gastrostomies were continent.

Conclusions:

  • Laparoscopic Janeway gastrostomy is an easy-to-perform procedure.
  • It offers a safe and effective alternative for paraesophageal alimentation.
  • The technique involves minimal patient discomfort and complications.