TY - CHAP M1 - Book, Section TI - Gastrostomy Tube Placement A1 - Hunter, John G. A1 - Spight, Donn H. A1 - Sandone, Corinne A1 - Fairman, Jennifer E. Y1 - 2018 N1 - T2 - Atlas of Minimally Invasive Surgical Operations AB - Placement of a gastrostomy tube is indicated for feeding or prolonged gastric decompression. The laparoscopic approach is indicated when a percutaneous endoscopic gastrostomy (PEG) cannot be placed or is contraindicated. This includes situations such as an obstructing oropharyngeal or esophageal lesion, or when interposition of the colon or omentum over the stomach makes the blind percutaneous approach unsafe. Patients with prior upper abdominal surgery may have adhesions that would render a laparoscopic approach difficult. Such patients may require placement of the gastrostomy tube under direct visualization using open techniques. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accesssurgery.mhmedical.com/content.aspx?aid=1162530534 ER -