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Single Port Laparoscopic Gastrostomy | OMICS International | Abstract
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
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Research Article

Single Port Laparoscopic Gastrostomy

Mariano Palermo*, Pablo Acquafresca, Guillermo Duza, Luis Antonio Blanco, Mario Luis Domínguez and Mariano Giménez

Department of Minimally Invasive and Gastrointestinal Surgery, University of Buenos Aires, Argentina

*Corresponding Author:
Dr. Mariano Palermo
Av. Pte. Perón 10298 Ituzaingo [CP 1714]
Buenos Aires, Argentina
Tel: 541144819995

Received date: January 27, 2014; Accepted date: February 21, 2014; Published date: February 28, 2014

Citation: Palermo M, Acquafresca P, Duza G, Blanco LA, Domínguez ML, et al. (2014) Single Port Laparoscopic Gastrostomy. J Gastroint Dig Syst 4:175. doi:10.4172/2161-069X.1000175

Copyright: © 2014 Palermo M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Introduction: Since the first classic descriptions of surgical gastrostomies for feeding by supraumbilical medial incisions, patients were operated under general anesthesia, with prolonged time of surgery, these were patients in poor health status, undernourished due to inadequate intake or to neurological or tumor involvement, with prolonged hospitalization, both for the recovery of the intestinal motility as well as for the recovery of post-surgical wounds. Material and Methods: Between July 2012 and December 2013, 10 patients underwent a single port laparoscopic gastrostomy. Six were females and 4 males. The range of age was from 54 to 87 y/o with a mean age of 72. Results: The mean time of the procedure was 43 minutes. Nine patients underwent glucose intake tolerance test after 12 hours and one 24 hours later. Enteral feeding was indicated after the glucose intake tolerance. No complications related with the procedure were observed.f Discussion: Nowadays, the gold standard technique to perform a gastrostomy is the percutaneous approach. In patients with head and neck disorders when is not possible to insert a nasogastric tube to insuflate the stomach, a laparoscopic gastrostomy would be indicated. We describe a new technique, step by step, to perform less invasive laparoscopic surgery by a single port laparoscopic gastrostomy. Conclusion: The lumen created is the same than with open techniques but with a minimally invasive approach, that allows to start feeding earlier providing high quality feeding