ArticleCanadian journal of surgery. Journal canadien de chirurgie2015
Laparoscopic-assisted percutaneous endoscopic gastrostomy: insertion of a skin-level device using a tear-away sheath.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 26 citations in OpenAlex.
- Double barbed purse-string suture laparoscopic gastrostomy.Updates in surgery · 2026Article
- Advances and challenges of gastrostomy insertion in children.World journal of gastrointestinal surgery · 2023Review
- Complications of Percutaneous and Surgical Gastrostomy Placements in Children: a Single-Centre Series.JPGN reports · 2023Article
- Is endoscopy beneficial in pediatric laparoscopic gastrostomy insertion; A 9-year comparative study.Frontiers in pediatrics · 2022Article
- Article
- Initial experience with percutaneous endoscopic gastrostomy with T-fastener fixation in pediatric patients.Endoscopy international open · 2018Article
- Laparoscopic-Assisted Percutaneous Endoscopic Gastrostomy.Current gastroenterology reports · 2016Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study describes our experience with the placement of a skin-level gastrostomy device (MIC-KEY) in a single procedure.
methodsWe identified infants, children and young adults who underwent laparoscopic-assisted percutaneous endoscopic gastrostomy (LAPEG) tube insertion between October 2009 and June 2013. The steps of this procedure include upper endoscopy, single-port laparoscopy, gastropexy via percutaneous T-fasteners and placement of a skin-level gastrostomy device (MIC-KEY) using a "push" technique with a tear-away sheath.
resultsWe included 92 patients in our study. Mean age was 3.7 years (range 3 wk-5 yr), and mean weight was 11.2 (range 2.8-54) kg. Median procedural time was 20 (range 12-76) minutes. Total median duration for the most recent 25 procedures was lower than that of the first 25 (62 v. 79 min, p = 0.004). There were no intraoperative complications or conversions to open surgery. Postoperative complications were observed in 6 (6.5%) patients. Three retained T-fasteners were assessed endoscopically (n = 1) or removed via local excision (n = 2). Two patients experienced early dislodged feeding tubes that were replaced via interventional radiology (n = 1) or repeat LAPEG (n = 1). There was also 1 intra-abdominal fluid collection that was drained percutaneously but ultimately required a laparotomy and washout. There were no major complications in the most recent 50 procedures.
conclusionOur results suggest that LAPEG is a safe, minimally invasive procedure for infants, children and young adults. This approach allows for immediate use of a skin-level gastrostomy device without the need for postoperative tube exchanges.
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