Laparoscopic Gastrostomy
Placement of a gastrostomy tube for feeding is one in every of the foremost common pediatric
surgery procedures. the choices for feeding tube placement into the stomach include an open gastrostomy tube placement, a
laparoscopic gastrostomy tube placement, a percutaneous
endoscopic gastrostomy (PEG), and a laparoscopic-assisted PEG placement. the selection of procedures depends on patient characteristics, anatomic considerations, and surgeon preference. An open Stamm gastrostomy involves a laparotomy and securing the stomach to the anterior wall with four sutures after having secured the feeding tube to the stomach with purse-string sutures. A PEG involves placing a feedikhttps://www.omicsonline.org/
ng tube through the skin and into the stomach with the help of endoscopic intraluminal visualization of the stokmach. It doesn't require a laparotomy, but also doesn't allow visualization of the tract or the peritoneal space while the feeding tube is being placed. PEG placement also doesn't provide
suture fixation of the stomach to the anterior paries. Laparoscopic assisted gastrostomy tube placement provides visualization of the feeding tube and track yet as optional
suture fixation of the stomach to the anterior wall.
Gastrostomy tubes are placed in children who have feeding difficulties, failure to thrive, or intestinal dysfunction. These patients may produce other conditions which will necessitate further workup. If patients as an example have significant esophageal reflux disease (GERD), they'll have to be further evaluated for medical verses surgical management of reflux.
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