Laparoscopic Janeway gastrostomy as preferred enteral access in specific patient populations: A systematic review and case series

Table 2 Literature reported cases of laparoscopic Janeway gastrostomies

Ref.	Evidence rating	Case	Outcomes	Complications
Haggie et al[18], 1992	3	n = 1 pt; Age= 65 yr (M); Esophageal occlusion of pharyngeal SCC s/p CTX and RTX	ORT: N/M; MUTs: 3 wk (death 2/2 primary disease)	Leakage of gastric contents easily managed; D: 1; R: 1; TC: 2
Serrano et al[13], 1994	3	n = 7 pt; Age = 48-83 yr; Esophageal cancer stage IV: 85% (n = 6); Traumatic peri-esophageal hematoma: 14.2% (n = 1)	ORT: 30-40 min. Average 35 min. MUTs: N/M	TC: 0; D: 0; R: 0; Mortality: 0
Ritz et al[12], 1998	3	n = 15 pt; Age average: 61 yr; Esophageal or paraesophageal tumors	ORT: 20-55 min. MUTs: 3.5 mo (death)	Stoma necrosis to Witzel gastrostoma: 6.6% (n = 1); Self-limiting skin irritation: 20% (n = 3); D: 0; R: 0; TC: 2
Molloy M et al[17], 1997	3	n = 2 pt (M); Age= 63 yr and 77 yr; Organic neurologic disorders + pulled out PEG (placed 48 h prior); Perforation along greater curvature (minimal contamination)	ORT: N/M. MUTs: N/M	C: N/M; D: N/M; R: N/M
Raakow et al[14], 2001	2	n = 21 pt (19 M; 2 F); Age = 53-78 yr; Extensive tumors of: Hypopharynx 57.1% (n = 12) Esophagus 42.8% (n = 9); Prior UGI surgery 19% (n = 4) to (2 OCh, 1 PCJ, 1 repair DP)	ORT: 24-50 min. Average 38 mins. MUT: 3.4 mo 2/2 death due to primary	C: Self-limiting skin irritation (method dependent): 9.6% (n = 2); D: N/M; R: N/M; Mortality from advanced cancer; MUTs: 26 d to 6.5 mo (average 3.4 mo)
Tous Romero et al[19], 2012	2	n = 57 pt; Age = 51 yr; 10 LJG, 47 OJG; Esophageal cancer: 38.6% (n = 22); Head & neck: 26.3% (n = 15); Neuro deficit 26.3% (n = 15)	ORT: N/M. MUTs: N/M	TC: 5 (some patients had multiple complications); D: N/M; R: N/M; Gastric content leakage: 30% (n = 3); Abd wall irritation: 30% (n = 3); No C: 50% (n = 5); Exudate: 10% ( n = 1); Exudate with + culture: 20% ( n = 2); Granuloma: 10%( n = 1); Balloon rupture: 10% (n = 1); Loss of peristomal content: 0

C: Complications; CXT: Chemotherapy; D: Dislodgement; DPr: Duodenal perforation; F: Female; M: Male; GT: Gastric tube; LJG: Laparoscopic Janeway gastrostomy; JT: Jejunostomy tubes; LE: Life expectancy; MUTs: Mean usage times; n: Number of patients; N/M: Not mentioned; OCh: Open cholecystectomy; ORT: Operating time; Pt: Patients; PCJ: Pancreatic cyst jejunostomy; R: Replacement; RXT: Radiotherapy; SG: Stamm gastrostomy; SCC: Squamous cell carcinoma; UGI: Upper gastrointestinal.