Endo-drgan surgery: a new approach to intragastric lesions.
Gastric endo-organ surgery is a minimally invasive procedure combining the use of gastroesophageal endoscopy and laparoscopy to approach intragastric problems that require surgical intervention. The advantages include: less scarring; shorter hospital stays; and less postoperative discomfort than conventional laparotomy. The technique requires placement of two or three percutaneous endoscopic gastrostomies in various positions on the gastric wall. Filipi et al. developed a percutaneous endoscopic gastrostomy (PEG) that is large enough to allow the use of 5 and 10mm laparoscopic instruments for intragastric surgery. In this article we review the complications related to the introduction of this access port.
Research Resident, Department of Surgery, Creighton University, Omaha, NE.
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