Laparoscopic tubularized continent gastrostomy: an alternative to tube gastrostomies
- PDF / 1,292,822 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 18 Downloads / 195 Views
TECHNICAL NOTE
Laparoscopic tubularized continent gastrostomy: an alternative to tube gastrostomies Marco Lotti1 · Giulia Carrara1 · Andrea Lovece2 · Michela Giulii Capponi1 Received: 3 April 2020 / Accepted: 7 May 2020 © Italian Society of Surgery (SIC) 2020
Abstract Gastrostomy tubes, placed either endoscopically or laparoscopically, are the most widely used method to deliver enteral feeding to patients unable to be fed by mouth. Tube gastrostomy is quick and low cost and allows the health care professionals for a convenient route to deliver enteral nutrition to their patients. Nevertheless, bearing an indwelling gastric tube could not be as convenient for patients. Complications, such as bowel perforation, tube dislodgement, peristomal infection or bleeding occur in up to 17% of patients, and some other drawbacks of gastric tubes, such as peristomal pain, are often understated. We present our technique for laparoscopic creation of a tubularized continent gastrostomy, originally conceived for the emergency treatment of patients with a dislodged percutaneous endoscopic gastrostomy, to provide them with a reliable new route for gastric feeding. After healing, this gastrostomy does not need an indwelling tube to stay patent, requires only a light gauze dressing and can be used by intermittent catheterization at conventional feeding times during the day. Laparoscopic tubularized continent gastrostomy can be offered to patients as a reliable alternative to tube gastrostomy. Keywords Gastrostomy · Laparoscopic gastrostomy · Percutaneous endoscopic gastrostomy · Enteral nutrition · Enteral feeding · Dysphagia
Background Gastrostomy is an option for patients who are unable to eat successfully or safely, or when supplemental feeding is required to meet their caloric needs. Among the different methods available, the placement of a gastrostomy tube, either endoscopically, radiologically or by laparoscopy, is the most widely used. Placing a gastrostomy tube is quite easy, quick and low cost and allows the health care professionals for a convenient route to deliver enteral nutrition to their patients [1, 2].
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s13304-020-00795-6) contains supplementary material, which is available to authorized users. * Marco Lotti [email protected] 1
Advanced Surgical Oncology Unit, Department of General Surgery 1, Papa Giovanni XXIII Hospital, Piazza OMS, 1, 24127 Bergamo, Italy
Department of General Surgery 1, Papa Giovanni XXIII Hospital, Piazza OMS, 1, 24127 Bergamo, Italy
2
Nevertheless, bearing an indwelling gastric tube could not be as convenient for patients. Beyond the early complications, such as peritonitis due to bowel perforation or tube dislodgement, late complications of gastric tubes are frequent and often fail to come to the attention of the surgeon. Among them, buried bumper, peristomal infection or bleeding, and dislodged, split or broken tube occur in up to 17% of patients, especially when the gastrostom
Data Loading...
