Laparoscopic Gastrostomy and Jejunostomy

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Percutaneous Endoscopic Gastrostomy, Duodenostomy and Jejunostomy

Although enteral feeding by nasal gastric tube is popular for the patients who have a swallowing disability and require long-term nutritional support, but have intact gut, this tube sometimes causes aspiration pneumonia or esophageal ulcer. For these patients, conventional techniques for performance of a feeding gastrostomy made by surgical laparotomy have been used so far. However, these patie...

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Laparoscopic gastrostomy and jejunostomy: safety and cost with local vs general anesthesia.

BACKGROUND AND HYPOTHESIS General anesthesia is used for laparoscopic enteral access because pneumoperitoneum requires relaxation of the abdominal muscles. We wanted to determine whether these procedures could be performed with similar results and cost under local anesthesia. DESIGN Randomized controlled study with 30-day follow-up including a cost-benefit analysis. SETTING University-affil...

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Jejunostomy Tubes: through Gastrostomy or Nasal

The benefits of enteral feeding in critically ill animals have been clearly established and include preservation of the mucosal integrity of the gut, reduction in rates of sepsis and augmentation of the host immune defense mechanisms. A multitude of tube types and techniques for tube insertion have been reported but fundamentally speaking, the decision for the type of enteral feeding required c...

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In which cases surgical gastrostomy and jejunostomy techniques are inevitable?

PURPOSE This study investigated the surgical gastrostomy and jejunostomy procedures in cancer patients who needed nutritional support and endoscopy was unattainable. METHODS Operation time and procedure, anesthesia and tube types, procedure-specific and surgical complications, and tube replacement at the follow up period were retrospectively analyzed. RESULTS 109 patients (44 female, 65 mal...

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Gastrostomy Placement in Children: Percutaneous Endoscopic Gastrostomy or Laparoscopic Gastrostomy?

The aim of this study is to compare the outcomes and the complications between the 2 most adopted procedures for gastrostomy placement: percutaneous endoscopic gastrostomy (PEG) and laparoscopic gastrostomy (LG) in children. We present our study on 69 patients (male: 46/female: 23): group 1 (37 patients, 54%) undergoing PEG, group 2 (32 patients, 46%) undergoing LG. A total of 5 major complicat...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 1999

ISSN: 0004-0010

DOI: 10.1001/archsurg.134.2.151