Laparoscopic assistance enables percutaneous endoscopic gastrostomy (PEG) in patients after prior abdominal and gastric surgery. Case series and review of the literature

We believe that laparoscopic assistance diminishes the risk of major complications related to the PEG tube insertion procedure in children after previous laparotomy. Furthermore, adequate fixation of the stomach to the abdominal wall during LAP-PEG prevents the development of leakage and peritonitis. LAP-PEG should be considered the method of choice for obtaining enteral access in children after prior abdominal and especially gastric surgeries.