Laparoscopic Percutaneous Endoscopic Gastrostomy Is Useful for Elderly.
Elderly
Laparoscopy
PEG
Journal
JSLS : Journal of the Society of Laparoendoscopic Surgeons
ISSN: 1938-3797
Titre abrégé: JSLS
Pays: United States
ID NLM: 100884618
Informations de publication
Date de publication:
Historique:
entrez:
1
6
2019
pubmed:
1
6
2019
medline:
14
8
2019
Statut:
ppublish
Résumé
In recent years, enteral nutrition has become relatively easy to perform through the penetration of percutaneous endoscopic gastrostomy (PEG). However, there have been reports of complications, such as mispuncture of other organs at the time of performing PEG. Previously, we had constructed a gastrostomy under the laparotomy for difficult PEG cases, and 2 years ago, we introduced laparoscopically assisted PEG. This study aimed to clarify the feasibility and safety of LAPEG for elderly people over 65 years old. We evaluated the perioperative outcomes in 7 elderly patients who underwent LAPEG during these 2 years. In these subjects, the safety of LAPEG was evaluated retrospectively based on the surgical outcomes, perioperative complications, and postoperative course using the clinical archives. The subjects' mean age was 81.1 ± 8.03 years. LAPEG was successful in all 7 patients. The median operation time was 38 minutes (range, 31-71 minutes). Intraoperative and postoperative early or late complications from LAPEG were not observed in our cases. Enteral nutrition was commenced 2 days after PEG placement in all cases without complications. We summarized the LAPEG cases performed at our institution for the elderly, and have reported its feasibility and safety. The strongest advantage of LAPEG was that it allowed placement of the PEG without any complication under direct observation of the intraperitoneal cavity to confirm the safety of each organ.
Sections du résumé
BACKGROUND
BACKGROUND
In recent years, enteral nutrition has become relatively easy to perform through the penetration of percutaneous endoscopic gastrostomy (PEG). However, there have been reports of complications, such as mispuncture of other organs at the time of performing PEG. Previously, we had constructed a gastrostomy under the laparotomy for difficult PEG cases, and 2 years ago, we introduced laparoscopically assisted PEG. This study aimed to clarify the feasibility and safety of LAPEG for elderly people over 65 years old.
METHODS
METHODS
We evaluated the perioperative outcomes in 7 elderly patients who underwent LAPEG during these 2 years. In these subjects, the safety of LAPEG was evaluated retrospectively based on the surgical outcomes, perioperative complications, and postoperative course using the clinical archives.
RESULTS
RESULTS
The subjects' mean age was 81.1 ± 8.03 years. LAPEG was successful in all 7 patients. The median operation time was 38 minutes (range, 31-71 minutes). Intraoperative and postoperative early or late complications from LAPEG were not observed in our cases. Enteral nutrition was commenced 2 days after PEG placement in all cases without complications.
CONCLUSION
CONCLUSIONS
We summarized the LAPEG cases performed at our institution for the elderly, and have reported its feasibility and safety. The strongest advantage of LAPEG was that it allowed placement of the PEG without any complication under direct observation of the intraperitoneal cavity to confirm the safety of each organ.
Identifiants
pubmed: 31148916
doi: 10.4293/JSLS.2019.00011
pii: JSLS.2019.00011
pmc: PMC6535467
pii:
doi:
Types de publication
Journal Article
Langues
eng
Déclaration de conflit d'intérêts
Conflicts of Interest: The authors declare that they have no conflict of interest.
Références
Surg Laparosc Endosc Percutan Tech. 1999 Jun;9(3):220-2
pubmed: 10804006
J Pediatr Gastroenterol Nutr. 2001 Oct;33(4):488-94
pubmed: 11698769
J Pediatr Surg. 2003 Oct;38(10):1512-5
pubmed: 14577077
JSLS. 2005 Jul-Sep;9(3):302-4
pubmed: 16121876
Clin Nutr. 2006 Apr;25(2):224-44
pubmed: 16698152
Am Surg. 2006 Dec;72(12):1222-4
pubmed: 17216824
Dent Off. 1991 Dec;11(4):4, 7
pubmed: 1819312
Asian J Surg. 2008 Oct;31(4):204-6
pubmed: 19010764
Can J Gastroenterol. 2008 Dec;22(12):993-8
pubmed: 19096739
J Pediatr Surg. 1991 Mar;26(3):288-92; discussion 292-4
pubmed: 2030474
JSLS. 2010 Jan-Mar;14(1):66-9
pubmed: 20529530
Dig Surg. 2011;28(3):163-6
pubmed: 21540603
Pediatr Surg Int. 2012 Sep;28(9):925-9
pubmed: 22940881
JPEN J Parenter Enteral Nutr. 2014 May;38(4):475-80
pubmed: 23520134
Surg Endosc. 1989;3(4):186-90
pubmed: 2516369
Gastroenterology. 1987 Jul;93(1):48-52
pubmed: 3108063
J Pediatr Surg. 1980 Dec;15(6):872-5
pubmed: 6780678
J Pediatr Surg. 1995 Aug;30(8):1209-10
pubmed: 7472985
J Laparoendosc Surg. 1993 Aug;3(4):411-4
pubmed: 8268516
Surg Laparosc Endosc. 1995 Dec;5(6):483-6
pubmed: 8611999
J Pediatr Surg. 1998 Jan;33(1):67-72
pubmed: 9473103
Br J Surg. 1998 Jul;85(7):983-5
pubmed: 9692579