网页caliber tube. Percutaneous endoscopic gastrostomy (PEG) using a flexible fiberoptic gastroscope avoids laparotomy for tube placement, but requires specialized equipment as well as a non-obstructed upper gastrointestinal tract to allow passage of the scope. This procedure is discussed in a separate chapter.
Gastrostomy (Stamm Gastrostomy) - InsideSurgery Medical Information Blog
网页2007年10月6日 — Stamm gastrostomy is a surgically placed feeding tube in the stomach. Incision. Usually performed through a small (6-8 cm) upper midline incision but can be performed through a upper left lateral horizontal incision also. Surgical Details of the Stamm Gastrostomy Procedure. 1. The incision is made in the skin with a No. 10 blade. 2.
Gastrostomy tubes: Fundamentals, periprocedural considerations, …
网页2022年4月4日 — Gastrostomy tube placement is a procedure that achieves enteral access for nutrition, decompression, and medication administration. Preprocedural evaluation and selection of patients is necessary to provide optimal benefit and reduce the risk of adverse events (AEs).
Gastrostomy tubes: Placement and routine care - UpToDate
网页2024年1月9日 — Gastrostomy tubes may be placed endoscopically, surgically, or radiologically. This topic will review the placement and routine care of gastrostomy tubes, including management of dysfunctioning gastrostomy tubes, with a focus on percutaneous endoscopic gastrostomy tubes.
Open (Stamm) Gastrostomy - SpringerLink
网页2017年7月8日 — The open gastrostomy is performed when percutaneous or laparoscopic gastrostomy is not an option. It is also performed as an adjunct procedure if prolonged enteral feeding or decompression is needed. This chapter describes indications, essential steps, variations,...
A New Method for Laparoscopic Stamm Gastrostomy - PubMed
网页In this study, we aim to present a new laparoscopic gastrostomy tube (GT) placement method developed in accordance with the classical Stamm method. Materials and methods: Intracorporeal purse-string suture is placed at the anterior wall of the stomach where the GT is intended to be placed.
Chapter 64. Gastrostomy Tube Replacement - McGraw Hill Medical
网页2024年9月24日 — The Stamm gastrostomy secures the stomach to a gastrostomy tube using a double purse-string suture to invaginate the stomach about the feeding tube (Figure 64-1A). The Witzel technique places the gastrostomy tube through a seromuscular tunnel in the stomach wall (Figure 64-1B).
SURGICAL GASTROSTOMY BASED ON ENDOSCOPIC CONCEPTS
网页2015年5月21日 — The two main techniques of surgical gastrostomy, Stamm double string purse suture and Witzel's creating a serous tube, seek to involve the probe in gastric tissue, trying to avoid the leakage complications of gastric contents.
Guidelines for gastrostomy tube placement and enteral nutrition …
网页2020年6月3日 — We have developed a highly effective method of treatment by which enteral nutrition administered through a gastrostomy (G) tube placed in the remnant stomach replaces oral diet: if done correctly this reverses hyperinsulinemia and hypoglycemia, yielding substantial health and quality of life benefits for severely affected patients.
Comparison of Laparoscopic Versus Open Approach to Gastrostomy Tubes
网页The open Stamm gastrostomy was the method most commonly used until the invention of PEG, which is now considered the preferred method for GT placement. However, patients who have failed PEG insertion are candidates for surgical placement of a GT either by the open or the laparoscopic approach.