Laparoscopic Gastrostomy and Jejunostomy

Alexander P. Nagle, Kenric M. Murayama*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Background: The percutaneous/endoscopic gastrostomy (PEG) has rapidly replaced the surgical gastrostomy as the preferred route for enteral access. In patients who are not candidates for a PEG, we prefer a laparoscopic gastrostomy to an open gastrostomy. Similarly, in patients who require a surgical jejunostomy, we prefer a laparoscopic approach. Minimally invasive techniques have several advantages over the standard open surgery. The purpose of this article is to review the indications, various techniques, and outcomes of laparoscopic gastrostomy and jejunostomy tubes. Data Sources: Medline search from 1959-2002. Conclusions: The PEG remains the procedure of choice for placement of a gastrostomy. Laparoscopic gastrostomy is an excellent choice for patients who are not candidates for a PEG. Similarly, laparoscopic jejunostomy is an excellent choice for patients who require enteral access, but have contraindications to a gastrostomy tube. Placement of laparoscopic gastrostomy and jejunostomy tubes can be safely performed, and the success and complication rates of these procedures compare favorably with those of the corresponding open surgical procedure. Laparotomy is rarely needed to place enteral feeding tubes. Cost analysis has shown that laparoscopic procedures are similar to open procedures.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalJournal of Long-Term Effects of Medical Implants
Volume14
Issue number1
DOIs
StatePublished - Apr 7 2004

Keywords

  • Enteral nutrition
  • Gastrostomy
  • Human
  • Jejunostomy
  • Laparoscopy
  • Patient selection

ASJC Scopus subject areas

  • Biomedical Engineering
  • Dentistry(all)

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