Laparoscopic assistance enables percutaneous endoscopic gastrostomy (PEG) in patients after prior abdominal and gastric surgery. Case series and review of the literature

Enteral feeding viagastrostomy tube is the treatment of choice for patients who are unable to tolerate oral feeding and are at risk for malnutrition. Because of its simplicity and effectiveness, percutaneous endoscopic gastrostomy (PEG) is nowadays considered the method of choice. To prevent complications, in children after prior abdominal and gastric surgeries, several methods have been reported to verify the anatomic relationship between the stomach and adjacent organs prior to gastric puncture. The aim of the study: we wanted to present our experience with the use of laparoscopic monitoring during the PEG procedure.