{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:59:18Z","timestamp":1777921158139,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Insecure gastropexy, gastric mucosa overgrowth, granulation tissue formation, and a nonhealing gastrostomy are unwanted consequences encountered in the current minimally invasive gastrostomy tube (GT) placement techniques. Aiming to overcome these problems we have developed a simplified laparoscopic-assisted GT insertion (LAG) procedure using guided transabdominal U-stitches (GTU) gastropexy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed all LAG cases performed in our institute using the GTU technique. In brief, a curved clamp is inserted intragastrically through the laparoscopic port and guides a needle across the abdominal and gastric walls to exit, then re-enter back, through the port in an out-in-out fashion creating multiple spaced transabdominal U-stitches that are tied over pledgets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Between March 2008 and January 2015, 31 cases had LAG attempted using GTU. Two cases were converted to open procedures for non\u2013LAG-related reasons. The median age of the remaining 29 cases was 37 (range, 0.3\u2013154.9) months. Of those patients, 20 had fundoplication (LAG-Fundo), whereas the remaining 9 had LAG-only. The mean operative times for LAG-Fundo and LAG-only were 148\u2009\u00b1\u200957.5 minutes and 41\u2009\u00b1\u200912.4 minutes, respectively. During a median follow-up of 21 (range, 4\u201381) months we did not encounter any procedure-related mortality, intraabdominal leaks, or bowel injuries. One patient required redo gastropexy due to unplanned early U-stitch removal, and 7 cases had transient external GT leak, granuloma formation, and\/or skin infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>GTU can achieve a simple and secure LAG, avoiding the catastrophic complications of intraabdominal leak without the need of special instruments or enlarging the port's wound. Using a smaller wound and intraabdominally placed mucosa helps in minimizing the risk of wound infection and external leak. Transient complications are expected during the earlier phase of the learning curve.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2015.0263","type":"journal-article","created":{"date-parts":[[2016,3,8]],"date-time":"2016-03-08T14:20:57Z","timestamp":1457446857000},"page":"228-232","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Guided Transabdominal U-Stitches Gastropexy: A Simplified Technique for Secure Laparoscopic Gastrostomy Tube Insertion"],"prefix":"10.1177","volume":"30","author":[{"given":"Ayman","family":"Al-Jazaeri","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mosaed","family":"Al-Dekhayel","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasser","family":"Al-Saleh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Al-Turki","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Al-Dhaheri","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saifullah","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"324","article-title":"Gastrostomy by a new method","volume":"65","author":"Stamm M","year":"1894","unstructured":"Stamm M. 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