[Tubular gastrostomy using celioscopy].
Surgical feeding gastrostomy is attended by a significant morbidity and mortality. Today, the percutaneous endoscopic route is regarded as the best method, but it is not feasible in case of pharyngo-oesophageal stenosis and has its own drawbacks. A new method using laparoscopy to perform a Depage-Janeway gastrostomy is presented here. The theoretical advantages of this method are clear: the limited parietal damage should avoid cicatricial complications, and the limited ventilatory aggression should reduce the amplitude of respiratory complications. Moreover, in surgical practice this is a simple, rapid and efficient operation.
Cossa
J P
JP
Service de Chirurgie générale et digestive, Hôpital Bichat-Claude Bernard, Paris.
Marmuse
J P
JP
Lecomte
P
P
Le Goff
J Y
JY
Johanet
H
H
Benhamou
G
G
D000368:Aged; D000369:Aged, 80 and over; D004940:Esophageal Stenosis / Q000601:surgery; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000379:methods; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged
Gastrostomie tubulée sous coelioscopie.