Systematic Reviews
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Oct 16, 2022; 14(10): 616-627
Published online Oct 16, 2022. doi: 10.4253/wjge.v14.i10.616
Laparoscopic Janeway gastrostomy as preferred enteral access in specific patient populations: A systematic review and case series
Max Murray-Ramcharan, Maria Camilla Fonseca Mora, Federico Gattorno, Javier Andrade
Max Murray-Ramcharan, Department of General Surgery, Harlem Hospital Center, Harlem, NY 10037, United States
Maria Camilla Fonseca Mora, Department of Medicine, NYU Langone Medical Center-Woodhull Medical Center, Brooklyn, NY 11206, United States
Federico Gattorno, Javier Andrade, Department of Surgery, NYU Langone Medical Center-Woodhull Medical Center, Brooklyn, NY 11206, United States
Author contributions: Murray-Ramcharan M conceptualized research study and both Murray-Ramcharan M and Fonseca Mora M designed the research study; Murray-Ramcharan M and Fonseca Mora M performed the research; Gattorno F and Andrade J contributed analytic tools and editing; Murray-Ramcharan M and Fonseca Mora M analyzed the data and wrote the manuscript; all authors have read and approve the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Max Murray-Ramcharan, MD, Doctor, Department of General Surgery, Harlem Hospital Center, 506 Lenox Avenue, Harlem, NY 10037, United States. maxmr999@gmail.com
Received: June 6, 2022
Peer-review started: June 6, 2022
First decision: August 1, 2022
Revised: August 5, 2022
Accepted: October 4, 2022
Article in press: October 4, 2022
Published online: October 16, 2022
Processing time: 127 Days and 8.6 Hours
Core Tip

Core Tip: This systematic review identifies that the laparoscopic Janeway gastrostomy may be advantageous as a first line option for enteral access in specific patient populations, when compared to percutaneous endoscopic gastrostomy, or other surgical gastrostomy options, by virtue of the gastric tube created and its resistance to dislodgment and ensuing complications. Patients with high risk for tube dislodgment, including those with neurocognitive disorders, seizures, dementia, or patients requiring permanent enteral feeding access, may benefit the most from this intervention as a first-line option.