Laparoscopic gastrostomy in critical polytrauma patients

Introduction: In critical ill patients, a hypermetabolic state develops in response to the aggression received, which leads to a rapid process of malnutrition, and has been associated with increased morbidity and mortality. The preferred enteral feeding way is through an endoscopic gastrostomy, an alternative procedure is the laparoscopic approach. Methods: Data was collected Between January 2016 and March 2019, of patients admitted to the Intensive Care Unit of the Hospital de Urgencias de Córdoba. Patients had an indication of enteral nutrition, and underwent laparoscopic feeding gastrostomy. Demographic data, as well as preoperative assessment according to the American Society of Anesthesiologists (ASA) classification, operative and postoperative complications, beginning and feasibility of feeding were recorded. Results: 12 patients full fill the inclusion criteria. Age average was 39 years. The total average surgical time was 39 minutes, not recording perioperative complications regarding the procedure. All the patients were fed after 24 hours. Conclusion: In our institution, the indication of percutaneous endoscopic gastrostomy is the elected choice; laparoscopic gastrostomy is a low-complexity technique, which can be done immediately after the indication in selected patients.