Laparoscopy-Assisted Percutaneous Endoscopic Gastrostomy in a Patient with Distorted Anatomy.
10.3904/kjm.2014.87.3.318
- Author:
Sang Hoon PARK
1
;
Jeong Rok LEE
;
Jong Gu LIM
;
Jong Hoon PARK
;
Hyung Suk YOON
;
Jung Hwa LEE
;
Jun Sik YU
Author Information
1. Department of Internal Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea. flyingbass93@gmail.com
- Publication Type:Case Report
- Keywords:
Laparoscopy;
Gastrostomy;
Endoscopy;
Kyphoscoliosis
- MeSH:
Adult;
Endoscopy;
Fistula;
Gastrostomy*;
Humans;
Laparoscopy;
Perioperative Period
- From:Korean Journal of Medicine
2014;87(3):318-322
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous endoscopic gastrostomy (PEG), which was first introduced in 1980, was quickly adopted for use in pediatric and adult patients. However, problems such as severe kyphoscoliosis, interposed organs, or other forms of distorted anatomy, may prevent effective and safe PEG tube placement. In such cases, laparoscopy-assisted PEG (LAPEG) is a useful optional procedure for patients with distorted anatomy and an initial unsuccessful PEG attempt. Furthermore, less invasive measures are preferable over surgical gastrostomy. We present a 27-year-old-male patient with severe kyphoscoliosis and a history of PEG-related complications with a colocutaneous fistula appearing 10 months earlier in whom a feeding tube was successfully placed by LAPEG. There were no LAPEG-related complications in the perioperative period, either technical or metabolic. After discharge, the patient was effectively fed using the bolus method.
