LAPAROSCOPIC GASTROSTOMY USING 4-POINT FIXATION

Percutaneous endoscopic gastrostomy (PEG) has become an effective alte rnative to surgical gastrostomy in patients who require enteral access or gastric decompression. Technical considerations, however, limit th e application of PEG in selected patients and those who have contraind ications to PEG. Laparoscopic gastrostomy tube placement has been intr oduced as an alternative to PEG. A technique for laparoscopic gastrost omy tube placement that emphasizes four-point fixation of the anterior gastric wall is presented.