Laparoscopic continent gastrostomy

Abstract

Surgical feeding gastrostomy is attended by a significant morbidity and mortality. The percutaneous endoscopic route is regarded as the best method, but it is not feasible in cases with pharyngoesophageal stenosis. We here describe a new method using laparoscopy. The technique is easy to perform. The patient retains continence, with the abdominal wall muscle acting as a sphincteric mechanism around the gastric tube.