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Laparoscopic gastrostomy and jejunostomy.
J Long Term Eff Med Implants. 2004; 14(1):1-11.JL

Abstract

BACKGROUND

The percutaneous/endoscopic gastrostomy (PEG) has rapidly replaced the surgical gastrostomy as the preferred route for enteral access. In patients who are not candidates for a PEG, we prefer a laparoscopic gastrostomy to an open gastrostomy. Similarly, in patients who require a surgical jejunostomy, we prefer a laparoscopic approach. Minimally invasive techniques have several advantages over the standard open surgery. The purpose of this article is to review the indications, various techniques, and outcomes of laparoscopic gastrostomy and jejunostomy tubes.

DATA SOURCES

Medline search from 1959-2002.

CONCLUSIONS

The PEG remains the procedure of choice for placement of a gastrostomy. Laparoscopic gastrostomy is an excellent choice for patients who are not candidates for a PEG. Similarly, laparoscopic jejunostomy is an excellent choice for patients who require enteral access, but have contraindications to a gastrostomy tube. Placement of laparoscopic gastrostomy andjejunostomy tubes can be safely performed, and the success and complication rates of these procedures compare favorably with those of the corresponding open surgical procedure. Laparotomy is rarely needed to place enteral feeding tubes. Cost analysis has shown that laparoscopic procedures are similar to open procedures.

Authors+Show Affiliations

Northwestern University Feinberg School of Medicine, Department of Surgery, Chicago, Illinois, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

14961758

Citation

Nagle, Alexander P., and Kenric M. Murayama. "Laparoscopic Gastrostomy and Jejunostomy." Journal of Long-term Effects of Medical Implants, vol. 14, no. 1, 2004, pp. 1-11.
Nagle AP, Murayama KM. Laparoscopic gastrostomy and jejunostomy. J Long Term Eff Med Implants. 2004;14(1):1-11.
Nagle, A. P., & Murayama, K. M. (2004). Laparoscopic gastrostomy and jejunostomy. Journal of Long-term Effects of Medical Implants, 14(1), 1-11.
Nagle AP, Murayama KM. Laparoscopic Gastrostomy and Jejunostomy. J Long Term Eff Med Implants. 2004;14(1):1-11. PubMed PMID: 14961758.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic gastrostomy and jejunostomy. AU - Nagle,Alexander P, AU - Murayama,Kenric M, PY - 2004/2/14/pubmed PY - 2004/6/4/medline PY - 2004/2/14/entrez SP - 1 EP - 11 JF - Journal of long-term effects of medical implants JO - J Long Term Eff Med Implants VL - 14 IS - 1 N2 - BACKGROUND: The percutaneous/endoscopic gastrostomy (PEG) has rapidly replaced the surgical gastrostomy as the preferred route for enteral access. In patients who are not candidates for a PEG, we prefer a laparoscopic gastrostomy to an open gastrostomy. Similarly, in patients who require a surgical jejunostomy, we prefer a laparoscopic approach. Minimally invasive techniques have several advantages over the standard open surgery. The purpose of this article is to review the indications, various techniques, and outcomes of laparoscopic gastrostomy and jejunostomy tubes. DATA SOURCES: Medline search from 1959-2002. CONCLUSIONS: The PEG remains the procedure of choice for placement of a gastrostomy. Laparoscopic gastrostomy is an excellent choice for patients who are not candidates for a PEG. Similarly, laparoscopic jejunostomy is an excellent choice for patients who require enteral access, but have contraindications to a gastrostomy tube. Placement of laparoscopic gastrostomy andjejunostomy tubes can be safely performed, and the success and complication rates of these procedures compare favorably with those of the corresponding open surgical procedure. Laparotomy is rarely needed to place enteral feeding tubes. Cost analysis has shown that laparoscopic procedures are similar to open procedures. SN - 1050-6934 UR - https://www.unboundmedicine.com/medline/citation/14961758/Laparoscopic_gastrostomy_and_jejunostomy_ L2 - http://www.begellhouse.com/journals/1bef42082d7a0fdf,1ac38db44330ce9c,4e2949167c7580c6.html DB - PRIME DP - Unbound Medicine ER -