[Laparoscopic Janeway gastrostomy: an advantageous solution for self-sufficient enteral feeding].
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.
Arnal
E
E
Service d'urgence chirurgicale, centre hospitalier Lyon-Sud, chemin du Petit-Revoyet, 69495 Pierre-Bénite, France.
Voiglio
E J
EJ
Robert
M
M
Schreiber
V
V
Ceruze
P
P
Caillot
J-L
JL
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