Akira Kameyama

Department of Gastrointestinal Surgery, Aizawa Hospital, Honjou Matsumoto, Nagano, Japan

Publications

• Research Article   
  Clinical and Economic Evaluation of Laparoscopically Assisted Percutaneous Endoscopic Gastrostomy Versus Open Gastrostomy in Patients for Whom Endoscopic Gastrostomy Is Difficult
  Author(s): Akira Kameyama*, Seiiiro Yoshifuku, Kotaro Sasahara, Noriaki Otagiri, Masatake Miyamoto, Yasunori Nishida and Katsunori Tauchi
  
  Background: Percutaneous endoscopic gastrostomy is a widely used technique for long-term enteral nutrition. However, some patients have anatomical or pathological conditions making standard percutaneous endoscopic gastrostomy infeasible. Traditionally, open gastrostomy has been performed in these cases, although it is more invasive. Laparoscopically Assisted Percutaneous Endoscopic Gastrostomy (LAPEG) has recently been introduced as an alternative. This study aimed to compare the surgical outcomes and economic feasibility of LAPEG and open gastrostomy in patients with conditions that render standard percutaneous endoscopic gastrostomy unfeasible. Materials and methods: A retrospective review was conducted of all patients undergoing gastrostomy at our institution between January 2016 and February 2025. Among 378 total gastrostomies, sixteen were classified as “difficult”, m.. Read More»