Laparoscopic Assisted Gastrostomy: A Case Report
Published: 2024-06-22
Page: 342-346
Issue: 2024 - Volume 7 [Issue 1]
Rania El Mouhib *
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Mahmoud Dabbagh
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Amine Maazouz
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Imad El Azzaoui
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Walid Chair
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Houda Bouidida
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Hind Habladje
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Mohamed Lamghari
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Mohammed Najih
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Hakim El Kaoui
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Mountassir Moujahid
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Sidi Mohamed Bouchentouf
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
Ahmed Bounaim
Department of Visceral Surgery, Mohammed V Military Hospital, Rabat, Morocco Faculty of Medecine and Pharmacy, Rabat, Morocco.
*Author to whom correspondence should be addressed.
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.
Keywords: PEG, LAPG, gastrostomy, laparoscopic
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References
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