A Case of LAPEG-J technique for the Development of LCIG Treatment System in Advanced Parkinson’s Disease

Abstract

For the LCIG treatment system in patients with advanced Parkinson’s disease, the establishment of a percutaneous endoscopic gastrostomy (PEG) is generally required. We successfully introduced the LCIG treatment system by performing a one-stage laparoscopic-assisted percutaneous endoscopic gastrostomy-jejunostomy (LAPEG-J) in a patient for whom PEG was difficult to perform. In this case, the gastric puncture site was located beneath the left thoracic wall, and the use of LAPEG-J enabled us to safely initiate LCIG therapy. LAPEG-J could serve as an alternative option for constructing an LCIG treatment system in cases where PEG is not feasible.