Laparoscopically monitored percutaneous endoscopic gastrostomy (PEG) in children: A safer procedure

G. Lotan*, E. Broide, Y. Efrati, B. Klin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: Percutaneous endoscopic gastrostomy (PEG) has now become the preferred technique for facilitating enteral nutrition in children with inadequate caloric intake. Because many problems related to PEG insertion have recently been reported, we were motivated to reassess this established technique. We have therefore added a new step-laparoscopic monitoring-to the classic PEG procedure. Methods: Fifteen children who required PEG during the previous year were studied. Their ages ranged from 2 months to 18 years. Six children were <1 year old at the time of operation. In 11 patients, the PEG was performed at the end of a laparoscopic Nissen fundoplication. In the others, it was done as a single procedure. Results: In all 15 children, the PEG was performed safely and quickly, without complications. Conclusion: The addition of 'laparoscopic monitoring' to the classic PEG procedure introduced by Gauderer et al. changes the first and last parts of the procedure from an almost 'blind' undertaking to a well-controlled and safer procedure.

Original languageEnglish
Pages (from-to)1280-1282
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number8
StatePublished - Aug 2004
Externally publishedYes


  • Children
  • Enteral nutrition
  • Laparoscopy
  • Percutaneous endoscopic gastrostomy (PEG)


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