{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:48:16Z","timestamp":1768438096029,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,21]],"date-time":"2013-03-21T00:00:00Z","timestamp":1363824000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,3,21]],"date-time":"2013-03-21T00:00:00Z","timestamp":1363824000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:p><jats:italic>Background\/Purpose<\/jats:italic>: Percutaneous endoscopic gastrostomy (PEG) is a simplified catheter placement procedure for alimentation. Although the endoscopic approach to gastrostomy tube placement is a safe and well\u2010tolerated procedure in most patients, the PEG procedure is difficult in elderly patients disabled since childhood who have severe scoliosis and malpositioning of the stomach. We describe a simple and effective laparoscopic\u2010assisted PEG (LAPEG) technique that can be used for catheter placement in severely disabled patients. <jats:italic>Methods<\/jats:italic>: Thirteen severely disabled patients aged 14\u201357 years underwent gastrostomy tube placement with the LAPEG technique. After general anesthesia was achieved, an endoscope was placed into the stomach. Then, a 5\u2010mm camera port was inserted at the umbilicus, and a 3\u2010mm working port was inserted to identify and lift the optimal site for gastrostomy tube placement. After the 4\u2010point fixation of the stomach, the 20\u2010Fr gastrostomy tube was placed under endoscopic and laparoscopic observation. <jats:italic>Results<\/jats:italic>: All patients tolerated the procedure well, and there were no major complications. The procedure was successful, and all patients could feed via the tube. <jats:italic>Conclusions<\/jats:italic>: Elderly disabled patients who have been bedridden since childhood often have severe scoliosis and malpositioning of the stomach. Our LAPEG procedure is effective, well tolerated, and safe for gastrostomy tube placement in such elderly patients.<\/jats:p>","DOI":"10.1177\/0148607113481476","type":"journal-article","created":{"date-parts":[[2013,3,22]],"date-time":"2013-03-22T00:39:41Z","timestamp":1363912781000},"page":"475-480","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Laparoscopic\u2010Assisted Percutaneous Endoscopic Gastrostomy"],"prefix":"10.1002","volume":"38","author":[{"given":"Yoshiyuki","family":"Shimizu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroomi","family":"Okuyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Sasaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoko","family":"Nose","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Saka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(80)80296-X"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-006-9068-9"},{"key":"e_1_2_9_4_1","first-page":"215","article-title":"Modification of the \u201cpush\u201d technique for percutaneous endoscopic gastrostomy in infants and children","volume":"182","author":"Robertson FM","year":"1996","journal-title":"J Am Coll Surg"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(87)90312-X"},{"key":"e_1_2_9_6_1","first-page":"135","article-title":"A case of gastrocolocutaneous fistula as a complication of percutaneous endoscopic gastrostomy","volume":"62","author":"Okutani D","year":"2008","journal-title":"Acta Med Okayama"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2003.12.018"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1993.3.411"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.08.017"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198907000-00006"},{"key":"e_1_2_9_11_1","first-page":"273","article-title":"Percutaneous endoscopic gastrostomy: new technique\u2014old complications","volume":"55","author":"Steffes C","year":"1989","journal-title":"Am Surg"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2007.0210"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.11.009"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.08.010"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0148607113481476","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0148607113481476","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0148607113481476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T11:58:11Z","timestamp":1760875091000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607113481476"}},"subtitle":["A Simple and Efficient Technique for Disabled Elderly Patients"],"short-title":[],"issued":{"date-parts":[[2013,3,21]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,5]]}},"alternative-id":["10.1177\/0148607113481476"],"URL":"https:\/\/doi.org\/10.1177\/0148607113481476","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,21]]}}}