Laparoscopic Assisted Gastrostomy: A Case Report

Abstract

Introduction: Percutaneous endoscopic gastrostomy (PEG), which was initially developed in 1980 by Gauderer and Ponsky for pediatric patients who were not consuming enough nutrition, has changed the way feeding tubes are placed by offering a dependable and safe alternative to laparotomy with a low rate of associated morbidity. PEG is now widely accepted. Case Presentation: We hereby report a case of a patient having undergone a laparoscopic-assisted percutaneous gastrostomy (LAPG) in our institution that was successfully attempted in an adult with laryngeal cancer and total dysphagia. Discussion: There are different techniques for gastrostomy tube placement: open gastrostomy, PEG, and radiologic procedure. The PEG is associated with a significant risk of bowel perforation. For those individuals in whom a PEG cannot be performed, LAPG assppears to be a promising alternative for preventing an open gastrostomy. This is particularly true for obese individuals, in whom a transillumination is not feasible. In addition to the laparoscopic procedure, it provides an endoscopic view of the stomach, potentially reducing serious consequences.s. Conclusion: This laparoscopic gastrostomy procedure should be particularly useful in patients for whom the endoscopic passage is not possible due to stenosis of the neck or esophagus. This technique allows a safe direct visualization of the stomach and other adjacent organs.