Laparoscopic gastrostomy: towards the ideal technique

Abstract

BackgroundLaparoscopic gastrostomy is the best option for long-term gastric intubation when percutaneous endoscopic gastrostomy is not possible. The ideal technique is yet to be defined.MethodsA technique of suturing the gastric wall to the posterior rectus sheath under direct vision has been developed. The method is simple and avoids the difficulties and potential complications described with other techniques.ResultsThe technique has been used in three cases with excellent results and no complications.ConclusionThe described technique is a further advance in defining the 'ideal' technique of laparoscopic gastrostomy.Andrew Luck and Peter Hewet