Laparoscopic secondary antireflux procedure after PEG placement in children

Background: This study investigates the feasibility of performing a subsequ ent laparoscopic antireflux procedure after former placement of a percutane ous endoscopic gastrostomy (PEG). Methods: Between 1997 and 1998, five patients with a gastrostomy in place p resented with an indication for laparoscopic antireflux procedure due to pe rsisting vomiting. Results: All patients were managed laparoscopically with a four-trocar tech nique. Conclusions: Primary PEG placement has no adverse effects on a later second ary antireflux procedure. In some cases, four rather than five trocars can be used.