Laparoscopic Janeway gastrostomy as preferred enteral access in specific patient populations:A systematic review and case series  

作　　者：Max Murray-Ramcharan Maria Camilla Fonseca Mora Federico Gattorno Javier Andrade 

机构地区：[1]Department of General Surgery,Harlem Hospital Center,Harlem,NY 10037,United States [2]Department of Medicine,NYU Langone Medical Center-Woodhull Medical Center,Brooklyn,NY 11206,United States [3]Department of Surgery,NYU Langone Medical Center-Woodhull Medical Center,Brooklyn,NY 11206,United States

出　　处：《World Journal of Gastrointestinal Endoscopy》2022年第10期616-627,共12页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：BACKGROUND Nutrition is one of the fundamental needs of both patient and non-patient populations.General trends promote enteral feeding as a superior route,with the most common enteral access being the percutaneous endoscopic gastrostomy(PEG)as the first-line procedure,with surgical access including Witzel gastrostomy,Stamm Gastrostomy,Janeway gastrostomy(JG)as secondary means.AIM To describe cases and technique of laparoscopic Janeway gastrostomy(LJG)and perform a systematic review of the data.METHODS We successfully performed two LJG procedures,after which we conducted a literature review of all documented cases of LJG from 1991 to 2022.We surveyed these cases to show the efficacy of LJG and provide comparisons to other existing procedures with primary outcomes of operative time,complications,duration of gastrostomy use,and application settings.The data were then extracted and assessed on the basis of the Reference Citation Analysis(https://www.referencecitationanalysis.com/).RESULTS We presented two cases of LJG,detailing the simplicity and benefits of this technique.We subsequently identified 26 articles and 56 cases of LJG and extrapolated the data relating to our outcome measures.We could show the potential of LJG as a viable and preferred option in certain patient populations requiring enteral access,drawing reference to its favorable outcome profile and low complication rate.CONCLUSION The LJG is a simple,reproducible procedure with a favorable complication profile.By its technical ease and benefits relating to the gastric tube formed,we propose this procedure as a viable,favorable enteral access in patients with the need for permanent or palliative gastrostomy,those with neurologic disease,agitation or at high risk of gastrostomy dislodgement,or where PEG may be infeasible.

关 键 词：Laparoscopic Janeway gastrostomy Janeway NUTRITION Feeding tube Enteral access Reproducible 

分 类 号：R656.61[医药卫生—外科学]