title: [Laparoscopic Janeway gastrostomy: an advantageous solution for self-sufficient enteral feeding].
abstract: BACKGROUND
  Laparoscopic gastrostomy according to Janeway (LGJ) is an alternative to percutaneous gastrostomy techniques.
  
  
  METHODS
  A series of 10 LGJ is reported. The laparoscopic technique involves an isoperistaltic tube of 6-7 cm of length and 10-12 mm of diameter is created by 2 applications of linear stapling and cutting device. The tube is led out, opened and fixed to the fascial and cutaneous planes and a Foley catheter is inserted.
  
  
  RESULTS
  Mean operation time was 35 minutes. There was no complication. The LGJ was indicated in 9 patients with tumour of the pharynx and 1 patient with encephalopathy.
  
  
  CONCLUSIONS
  The main drawback of the LGJ is the need of general anaesthesia. The main advantage is the creation by minimal invasive surgery of a permanent gastrostomy equipped with a removable catheter easily changeable by non specialized health professionals, and even by the patient himself.
authors.affiliation: Service d'urgence chirurgicale, centre hospitalier Lyon-Sud, chemin du Petit-Revoyet, 69495 Pierre-Bénite, France.
authors.forename: E
authors.initials: E
authors.lastname: Arnal
authors.forename: E J
authors.initials: EJ
authors.lastname: Voiglio
authors.forename: M
authors.initials: M
authors.lastname: Robert
authors.forename: V
authors.initials: V
authors.lastname: Schreiber
authors.forename: P
authors.initials: P
authors.lastname: Ceruze
authors.forename: J-L
authors.initials: JL
authors.lastname: Caillot
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012648:Self Care