Laparoscopic-assisted percutaneous endoscopic gastrostomy.
The authors report the successful use of laparoscopic-assisted percutaneous endoscopic gastrostomy (LAPEG) in two children. Attempts at simple percutaneous endoscopic gastrostomy in both patients had failed. Subsequently, LA-PEG was easily accomplished. This technique consisted of a combination of upper gastrointestinal endoscopy and laparoscopy. The gastrostomy was placed under direct vision in the lesser gastric curvature, hence minimizing the risk of developing gastroesophageal reflux.
D000293:Adolescent; D001925:Brain Damage, Chronic; D001927:Brain Diseases; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005764:Gastroesophageal Reflux / Q000517:prevention & control; D005773:Gastroscopy; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D009765:Obesity; D014172:Transillumination; D017211:Treatment Failure