[Janeway laparoscopic gastrostomy].
The percutaneous endoscopic gastrostomy is the procedure of first choice for the creation of a gastrostomy. If that is not possible a laparoscopic access should be preferred to a laparotomy. In tumor patients there seem to be some advantages of the laparoscopic Janeway gastrostomy compared to Kader-Stamm fistulas. We describe the technique and discuss the results of 5 patients without complications referring to current publications. In conclusion the Janeway gastrostomy is a good palliation because it is an effective, safe and simple method with easy handling, and little requirement for nursing care.
Meyer
G
G
Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.
Rau
H
H
Strauss
T
T
D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery*; D004750:Enteral Nutrition / Q000295:instrumentation; D004938:Esophageal Neoplasms / Q000601:surgery; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D020706:Laparoscopes; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D010166:Palliative Care; D013528:Surgical Staplers; D013964:Thyroid Neoplasms / Q000601:surgery