Usah Khrucharoen, Greg Sacks, Yijun Chen, Erik P Dutson. UCLA
In this video, we demonstrated a technique of laparoscopic-assisted PEG tube placement in patient with unsuccessful attempt of PEG due to air-filled loops of colon positioned between the stomach and anterior abdominal wall. In this case, patient had a history of recurrent embolic strokes and swallowing disorder with high risk of aspiration. In order to establish a long-term enteral nutrition support for the patient,laparoscopic-assisted PEG tube placement was performed following unsuccessful attempt of PEG. This technique allows the surgeon to perform a diagnostic laparoscopy in the peritoneal cavity as well as to ensure safe positioning of the gastrostomy site under videoscopic guidance and to avoid a potential intestinal injury. Upon insufflating the carbon dioxide into the peritoneal cavity to perform a diagnostic laparoscopy, the stomach was clearly visualized, and the procedure was carried out using the Ponsky pull technique. Operative time was 25 minutes. No intra-operative complications. The postoperative course was uneventful. Patient was successfully initiated a diet of tube feeding postoperatively.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 92080
Program Number: V372
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop