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Percutaneous endoscopic gastrostomy is currently the gold standard method for long-term enteral feeding in patients with persistent dysphagia owing to oncologic and neurologic disorders1. However, despite its safety and practical execution, some limitations persist, especially when obstructive lesions prevent endoscopic gastric access or abdominal wall transillumitation is hampered by obesity, ascites, previous abdominal surgery or visceral interposition1.

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GASTRIC SLEEVE SURGERY AS A NEW CLINICAL INDICATION FOR SURGICAL GASTROSTOMY AFTER FAILURE OF ENDOSCOPIC APPROACH IN PATIENTS WHO NEED LONG-TERM ENTERAL NUTRITION