Percutaneous Endoscopic Gastrostomy in a Patient with a Large Hiatal Hernia Using Laparoscopy
نویسنده
چکیده
Gastropexy via a percutaneous endoscopic gastrostomy has been used for fixation of the stomach to the anterior abdominal wall in patients with hiatal hernias who are poor candidates for more extensive procedures. Altered anatomic relationship of the stomach to other intra-abdominal organs and the abdominal wall may prevent safe placement endoscopically. Visualizing and manipulating the stomach with laparoscopy enables the surgeon to complete the procedure and diminishes the risk of injury to the adjacent organs without compromising the minimally invasive approach.
منابع مشابه
Laparoscopic Repair and Percutaneous Endoscopic Gastrostomy to Treat Giant Esophageal Hiatal Hernia with Gastric Obstruction: A Case Report.
We describe a 74-year-old man with repeated aspiration pneumonia who developed gastric obstruction due to giant esophageal hiatal hernia (EHH). We repaired the giant EHH by laparoscopic surgery and subsequently anchored the stomach to the abdominal wall by percutaneous endoscopic gastrostomy (PEG) using gastrofiberscopy. Thereafter, the patient resumed oral intake and was discharged on postoper...
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