Skip to main content
Log in

Laparoscopy-assisted percutaneous endoscopic gastrostomy using a “Funada-kit II” device

Pediatric Surgery International Aims and scope Submit manuscript

Abstract

We aimed at assessing the effect of using a “Funada-kit II” device during laparoscopy-assisted percutaneous endoscopic gastrostomy (Lap-PEG), by reviewing 29 cases of Lap-PEG we performed from 2001 to 2011. We started using the “Funada-kit II” (CREATE MEDIC CO., Kanagawa, Japan) device with two parallel needles to puncture the stomach and assist suturing the anterior gastric wall to the anterior abdominal wall during Lap-PEG in 2011 (F-PEG). By introducing a loop through the lumen of one needle which allows placement of a suture introduced through the lumen of the other needle. Once repeated, the stomach can be pexied at two points, approximately 2 cm apart. We compared Lap-PEG (n = 23) with F-PEG (n = 6) where the mean ages and weights at surgery and sex ratios were similar. All cases were uneventful without intraoperative complications, although one postoperative wound infection occurred in a Lap-PEG case. There were no differences in the duration of analgesia, time taken to commence tube feeding, and return to full feeding. However, mean operating time was significantly shorter in F-PEG (28.1 min) versus Lap-PEG (46.1 min) p < 0.05. As per results F-PEG would appear to be as safe as Lap-PEG, but much quicker.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Gauderer MWL, Ponsky JL, Izant RJ (1980) Gastrostomy without laparostomy; a percutaneous endoscopic technique. J Pediatr Surg 15:872–875

    Article  PubMed  CAS  Google Scholar 

  2. Lotan G, Broide E, Efrati Y (2004) Laparoscopically monitored percutaneous endoscopic gastrostomy (PEG) in children. Surg Endosc 18:1280–1282

    Article  PubMed  CAS  Google Scholar 

  3. Steyaert H, Carfagna L, Lembo MA (2003) Laparoscopic or Endoscopic gastrostomy in children: comparison of two methods. Pediatr Endosurg Innov Tech 2:141–145

    Article  Google Scholar 

  4. Hament JM, Bax NMA, van der Zee DC (2001) Complications of percutaneous endoscopic gastrostomy with or without concomitant antireflux surgery in 96 children. J Pediatr Surg 36:1412–1415

    Article  PubMed  CAS  Google Scholar 

  5. Gauderer MWL (1991) Percutaneous endoscopic gastrostomy: a 10-year experience with 220 children. J Pediatr Surg 26:288–294

    Article  PubMed  CAS  Google Scholar 

  6. Khattak IU, Kimber C, Kiely EM (1998) Percutaneous endoscopic gastrostomy in pediatric practice: complications and outcome. J Pediatr Surg 33:67–72

    Article  PubMed  CAS  Google Scholar 

  7. Takahashi T, Okazaki T, Kato Y, Watayo H, Lane GJ, Kobayashi H, Segawa O, Kameoka S, Yamataka A (2008) Laparoscopy-assisted percutaneous endoscopic gastrostomy. As J Surg 31:204–206

    Article  Google Scholar 

  8. Ichikawa S, Ishihara M, Okazaki T, Lane GJ, Yamataka A (2007) Prospective study of antibiotic protocols for managing surgical site infections in children. J Pediatr Surg 42:1002–1007

    Article  PubMed  Google Scholar 

  9. Humphery G, Najmaldin A (1994) Modification of Hasson’s technique in pediatric laparoscopy. Br J Surg 81:1319

    Article  Google Scholar 

  10. Gauderer MWL (2002) Percutaneous endoscopic gastrostomy and the evolution of contemporary long-term enteral access. Clin Nutr 21(2):103–110

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported in part by a Grant-in-Aide (S0991013) from the Ministry of Education, Culture, Sport, Science, and Technology, Japan (MEXT) through the Foundation for Strategic Research Projects in Private Universities.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Go Miyano.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Takahashi, T., Miyano, G., Shiyanagi, S. et al. Laparoscopy-assisted percutaneous endoscopic gastrostomy using a “Funada-kit II” device. Pediatr Surg Int 28, 925–929 (2012). https://doi.org/10.1007/s00383-012-3150-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-012-3150-2

Keywords

Navigation