Laparoscopic gastrostomy: towards the ideal technique

Abstract

<h4>Background</h4>Laparoscopic gastrostomy is the best option for long-term gastric intubation when percutaneous endoscopic gastrostomy is not possible. The ideal technique is yet to be defined.<h4>Methods</h4>A technique of suturing the gastric wall to the posterior rectus sheath under direct vision has been developed. The method is simple and avoids the difficulties and potential complications described with other techniques.<h4>Results</h4>The technique has been used in three cases with excellent results and no complications.<h4>Conclusion</h4>The described technique is a further advance in defining the 'ideal' technique of laparoscopic gastrostomy.