General

Open gastrostomy

PEG

Laparoscopic gastrostomy

G-tube care

(Click here to return to the Pediatric Surgery @ Brown Home Page) LAPAROSCOPIC GASTROSTOMY In principle the same as an open gastrostomy, but with the added placement of a 3 or 5 mm scope via an umbilical incision, insufflation of the peritoneal cavity for direct visualization. The catheter (primary button or balloon-tipped g-tube) is introduced into a peel-away sheath, which is itself introduced after gradual dilatation of a percutaneous-transgastric needle tract. Anchoring sutures ("T"-fasteners) are placed at two positions to prevent the stomach from falling away from the abdominal wall. These sutures are removed 2 weeks postoperatively.   Click here to return to Hasbro Children's Hospital Surgery Handbook Home page .

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