[Celioscopic gastrostomies and jejunostomies].
The authors describe a technique of laparoscopic gastrostomy and jejunostomy, which has been used in 23 patients between May 1991 and August 1992: 13 laparoscopic gastrostomies (LG) and 10 laparoscopic jejunostomies (LJ), all performed under general anaesthesia. There were no operative deaths, one intraoperative complication and 3 postoperative complications. Twelve patients had died by the end of the study, 7 patients were still using their feeding tube and 4 patients ate normally. The mean duration of use of the feeding tubes was 4 months for LG and 43 days for LJ. The secondary complications consisted of 3 tube obstructions and one case of pyloric obstruction. Laparoscopic gastrostomy and jejunostomy, performed according to the method described, constitute an effective and reliable alternative to open operations. They can be performed in cases in which endoscopic gastrostomy is impossible. Due to its technical simplicity, laparoscopic jejunostomy should be preferred to gastrostomy whenever there is a risk of inhalation.
Chambon
J P
JP
Clinique Chirurgicale Adultes Ouest A, Hôpital Claude Huriez, Lille.
Wurtz
A
A
Saudemont
A
A
Bosse
J L
JL
Chevalier
D
D
Quandalle
P
P
D000208:Acute Disease; D000328:Adult; D000368:Aged; D003680:Deglutition Disorders / Q000601:surgery; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010039:Otorhinolaryngologic Neoplasms / Q000401:mortality / Q000601:surgery*; D010195:Pancreatitis / Q000601:surgery; D013274:Stomach Neoplasms / Q000401:mortality / Q000601:surgery
Gastrostomies et jéjunostomies coelioscopiques.