Abstract
Endoscopic jejunostomy placed via a gastrostomy does not protect against aspiration, and surgical jejunostomy is still preferred for patients with gastroesophageal reflux. We describe a rapid percutaneous suture technique which enables laparoscopic jejunostomy to be done under low-pressure pneumoperitoneum, using local anesthesia with sedation. Eight patients underwent this procedure without morbidity and mortality, and all tubes functioned well. No patient died of aspiration at follow-up of over 6 months.
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