title: Laparoscopic continent gastrostomy.
abstract: Surgical feeding gastrostomy is attended by a significant morbidity and mortality. The percutaneous endoscopic route is regarded as the best method, but it is not feasible in cases with pharyngoesophageal stenosis. We here describe a new method using laparoscopy. The technique is easy to perform. The patient retains continence, with the abdominal wall muscle acting as a sphincteric mechanism around the gastric tube.
authors.affiliation: Centre Hospitalo-Universitaire, Department of Visceral Surgery, Angers, France.
authors.forename: J P
authors.initials: JP
authors.lastname: Arnaud
authors.forename: C
authors.initials: C
authors.lastname: Casa
authors.forename: A
authors.initials: A
authors.lastname: Manunta
mesh_terms: D000368:Aged; D002408:Catheters, Indwelling; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy*; D004750:Enteral Nutrition / Q000379:methods*; D004938:Esophageal Neoplasms / Q000150:complications; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010610:Pharyngeal Neoplasms / Q000150:complications