The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparo-endogastric surgery.

As part of the NICE's work programme, the current guidance was considered for review but did not meet the review criteria as set out in the IP process guide. The guidance below therefore remains current.


Laparoendogastric surgery is a minimally invasive approach to surgery for gastric wall lesions, and attempts to avoid resection of the full thickness of stomach wall. With the patient under general anaesthetic, the surgeon passes an endoscope through the oesophagus into the stomach. A laparoscope is inserted through a small incision in the upper abdominal wall, passed into the stomach, and surgery is performed from inside.

Coding recommendations

In addition to the code for the primary gastric surgery that is performed to treat the lesion, the following two OPCS-4 codes are assigned:

Y76.3 Endoscopic approach to other body cavity

Y75.2 Laparoscopic approach to abdominal cavity NEC