Laparoscopic secondary antireflux procedure after PEG placement in children. Percutaneous endoscopic gastrostomy.
作者信息
van der Zee D C, Bax N M, Ure B M
机构信息
Department of Pediatric Surgery, KE 04.140.5, Wilhelmina Children's Hospital, University Medical Center, P.O. Box 85090, 3508 AB Utrecht, The Netherlands.
出版信息
Surg Endosc. 2000 Dec;14(12):1105-6. doi: 10.1007/s004640000263.
BACKGROUND
This study investigates the feasibility of performing a subsequent laparoscopic antireflux procedure after former placement of a percutaneous endoscopic gastrostomy (PEG).
METHODS
Between 1997 and 1998, five patients with a gastrostomy in place presented with an indication for laparoscopic antireflux procedure due to persisting vomiting.
RESULTS
All patients were managed laparoscopically with a four-trocar technique.
CONCLUSIONS
Primary PEG placement has no adverse effects on a later secondary antireflux procedure. In some cases, four rather than five trocars can be used.
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