Laparoscopic-Assisted Gastric Button Placement: a Valuable Alternative for a Percutaneous Endoscopic Gastrostomy (PEG)

Abstract

A percutaneous endoscopic gastrostomy remains the first choice when oral feeding is difficult. In some patients however an endoscopic placement of a gastrostomy tube is not possible. As an alternative, a laparoscopic-assisted insertion of a gastric button was performed to provide enteral feeding in seven patients. Enteral feeding could be resumed within one or two days after the procedure and no complications were encountered. This minimal invasive technique has certain advantages over a surgical gastrostomy by laparotomy. Therefore, a laparoscopically inserted gastric button should be considered a valuable alternative if percutaneous endoscopic gastrostomy is no longer possible.

Key Words:

• Gastrostomy
• gastric button
• laparoscopic gastrostomy
• laparoscopic gastric button
• nutrition

Additional information

Notes on contributors

G. Roeyen

G. Roeyen Department of Hepatobiliary, Endocrinological and Transplantation Surgery University Hospital Antwerp Wilrijkstraat 10 B-2650 Edegem, Belgium