Laparoscopic secondary antireflux procedure after PEG placement in children |
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Authors: | D C van der Zee N M A Bax B M Ure |
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Institution: | (1) Department of Pediatric Surgery, KE 04.140.5, Wilhelmina Children's Hospital, University Medical Center, P.O. Box 85090, 3508 AB Utrecht, The Netherlands, NL |
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Abstract: | Background: This study investigates the feasibility of performing a subsequent laparoscopic antireflux procedure after former placement
of a percutaneous endoscopic gastrostomy (PEG).
Methods: Between 1997 and 1998, five patients with a gastrostomy in place presented with an indication for laparoscopic antireflux
procedure due to persisting vomiting.
Results: All patients were managed laparoscopically with a four-trocar technique.
Conclusions: Primary PEG placement has no adverse effects on a later secondary antireflux procedure. In some cases, four rather than five
trocars can be used.
Received: 7 December 1999/Accepted: 7 March 2000/Online publication: 29 August 2000 |
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Keywords: | : Secondary antireflux procedure — Laparoscopy — Gastrostomy — Children |
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