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Totally laparoscopic jejunostomy using a commonly available open device

A D'Urso, MD, PhD B Dallemagne, MD D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2015;15(02). URL: http://websurg.com/doi/vd01en4330

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  • 2015-02-13
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There are some conditions in which jejunal feeding is preferred to gastric feeding such as a previous gastric, duodenal, or pancreatic surgery, gastroparesis, high risk of aspiration, and esophageal or gastric cancer. A surgical feeding jejunostomy tube may be placed via laparotomy, laparoscopy, endoscopy, as well as percutaneously using radiographic guidance. In this video, we present a totally laparoscopic jejunostomy performed at the same time of a laparoscopic exploration for a complete gastric cancer staging using a commonly available open device.