Laparoscopy-assisted percutaneous endoscopic gastrostomy—report of three cases—

Abstract

We performed laparoscopy-assisted percutaneous endoscopic gastrostomy (LAPEG) in three patients in whom we had been unable to place a standard percutaneous endoscopic gastrostomy (PEG). The laparoscopic approach provided direct visualization for accurate PEG placement, while avoiding injury to other organs. Based on our experience, we recommend LAPEG as a safe and effective alternative to open surgical gastrostomy when PEG is not possible.