RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162530534
T1 Gastrostomy Tube Placement
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162530534
RD 2024/04/25
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.