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Presse Med. 1992 Oct 3;21(32):1519-21.

[Tubular gastrostomy using celioscopy].

[Article in French]

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Service de Chirurgie générale et digestive, Hôpital Bichat-Claude Bernard, Paris.


Surgical feeding gastrostomy is attended by a significant morbidity and mortality. Today, the percutaneous endoscopic route is regarded as the best method, but it is not feasible in case of pharyngo-oesophageal stenosis and has its own drawbacks. A new method using laparoscopy to perform a Depage-Janeway gastrostomy is presented here. The theoretical advantages of this method are clear: the limited parietal damage should avoid cicatricial complications, and the limited ventilatory aggression should reduce the amplitude of respiratory complications. Moreover, in surgical practice this is a simple, rapid and efficient operation.

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