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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Nov 21, 2013; 19(43): 7696-7700
Published online Nov 21, 2013. doi: 10.3748/wjg.v19.i43.7696
Published online Nov 21, 2013. doi: 10.3748/wjg.v19.i43.7696
Laparoscopy-assisted percutaneous endoscopic gastrostomy enables enteral nutrition even in patients with distorted anatomy
Adam Hermanowicz, Ewa Matuszczak, Marta Komarowska, Elzbieta Jarocka-Cyrta, Jerzy Wojnar, Wojciech Debek, Department of Pediatric Surgery, Medical University of Bialystok, 15-001 Bialystok, Poland
Konrad Matysiak, Department of Gastroenterology and Oncology and Plastic Surgery, Medical University of Poznan, 60-015 Poznań, Poland
Stanislaw Klek, General and Oncology Surgery Unit, Stanley Dudrick’s Memorial Hospital, 32-050 Skawina, Poland
Author contributions: Hermanowicz A and Klek S coordinated the trial, they were responsible for the study conception and contributed to the experimental design, data interpretation and writing of the manuscript; all the authors critically revised the intellectual content of the study and contributed to the writing of the manuscript, the data and statistical analyses and the data collection.
Correspondence to: Stanislaw Klek MD, PhD, Professor, General and Oncology Surgery Unit, Stanley Dudrick’s Memorial Hospital, 15 Tyniecka Street, 32-050 Skawina, Poland. klek@poczta.onet.pl
Telephone: +48-12-4248007 Fax: +48-12-4248007
Received: August 15, 2013
Revised: September 19, 2013
Accepted: September 29, 2013
Published online: November 21, 2013
Processing time: 124 Days and 17 Hours
Revised: September 19, 2013
Accepted: September 29, 2013
Published online: November 21, 2013
Processing time: 124 Days and 17 Hours
Core Tip
Core tip: Enteral nutrition (EN) is a life-saving procedure, preventing complications associated with malnutrition. The best solution for EN is percutaneous endoscopic gastrostomy (PEG). In some cases, however, creating such access is impossible. In those cases, laparoscopy-assisted PEG should become the method of choice for gastrostomy tube placement and subsequent EN if PEG placement cannot be performed safely.