Minimally Invasive Gastrostomy

The establishment of enteral access for feeding is one of the most common pediatric surgical procedures. Many techniques have been described in the armamentarium of the pediatric surgeon, and choice of technique is dictated by patient selection and surgeon preference. The three most common are open Stamm gastrostomy, laparoscopic gastrostomy, and percutaneous endoscopic gastrostomy (PEG). All three have been demonstrated to be feasible in the pediatric population. This chapter aims to outline the history of gastrostomy in the use of feeding access and describe techniques in minimally invasive gastrostomy placement, namely, laparoscopic gastrostomy and PEG.