METHOD AND EFFECT OF LAPAROSCOPY-ASSISTED PERCUTANEOUS ENDOSCOPIC GASTROSTOMY

Abstract

[Aims]
We contrived laparoscopy-assisted percutaneous endoscopic gastrostomy (L-PEG). L-PEG prevents injury of other organs, such as the transverse colon, liver and graft vessels. We describe the method and advantage of L-PEG.
[Methods]
Fifteen patients were selected as the candidates of L-PEG under local anesthesia, in whom with the colon gas in front of the stomach on X-P or CT image, operative scar in the upper abdomen and previous of coronary arterial bypass operation using right gastroepiploic artery graft.
[Results]
L-PEG was safely performed in all cases.
[Conclusion]
L-PEG may be a safe and useful method of gastrostomy in patients with the risk of injuring other intraperitoneal organs by usual PEG procedure.