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Gastrostomy
ICD-9-CM
43.1
MeSH
D005774
[edit on Wikidata]
A gastrostomy is the creation of an artificial external opening into the stomach for nutritional support or gastric decompression.
Typically this would include an incision in the patient's epigastrium as part of a formal operation. When originally devised over a century ago the procedure was completed through open surgery using the Stamm technique.[1] It can be performed through surgical approach, percutaneous approach by interventional radiology, percutaneous endoscopic gastrostomy (PEG) or percutaneous ultrasound gastrostomy (PUG).[2]
A gastrostomy may be required due to illness, trauma or disability impacting upon the ability to eat or swallow safely, or conditions causing increased nutritional requirement [3] and once formed (or for some techniques, during formation), a gastrostomy tube is inserted.
^Souza, Emmanuel Conrado (2016). "Surgical Gastrostomy Based on Endoscopic Concepts". Arquivos Brasileiros de Cirurgia Digestiva. 29 (1): 50–52. doi:10.1590/0102-6720201600010013. PMC 4851152. PMID 27120741.
^Gentry Wilkerson, R.; Pustavoitau, Aliaksei; Carolan, Howard; Benner, Nolan; Fischer, Clark; Sheets, Daniel J.; Wang, Peggy I.; Tropello, Steven (2019-06-01). "Percutaneous Ultrasound Gastrostomy: A Novel Device and Bedside Procedure for Gastrostomy Tube Insertion Using Magnetic and Ultrasound Guidance". Journal of Medical Devices. 13 (2): 024501. doi:10.1115/1.4042866. ISSN 1932-6181. S2CID 115288545.
^Braegger, Christian; Decsi, Tamas; Dias, Jorge Amil; Hartman, Corina; Kolacek, Sanja; Koletzko, Berthold; Koletzko, Sibylle; Mihatsch, Walter; Moreno, Luis; Puntis, John; Shamir, Raanan; Szajewska, Hania; Turck, Dominique; van Goudoever, Johannes; ESPGHAN Committee on Nutrition (July 2010). "Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition". Journal of Pediatric Gastroenterology and Nutrition. 51 (1): 110–122. doi:10.1097/MPG.0b013e3181d336d2. ISSN 1536-4801. PMID 20453670.
A gastrostomy is the creation of an artificial external opening into the stomach for nutritional support or gastric decompression. Typically this would...
Percutaneous endoscopic gastrostomy (PEG) is an endoscopic medical procedure in which a tube (PEG tube) is passed into a patient's stomach through the...
nasojejunal tubes, and those placed directly into the abdomen, such as a gastrostomy, gastrojejunostomy, or jejunostomy feeding tube. A nasogastric feeding...
jejunal feeding tube. A jejunal feeding tube is an alternative to a gastrostomy feeding tube and is commonly used when gastric enteral feeding is contraindicated...
affects feeding tubes placed into the stomach (gastrostomy tubes) through the abdominal wall. Gastrostomy tubes include an internal bumper, which secures...
climbing PEG tube, a medical device, that is, a percutaneous endoscopic gastrostomy tube Foot peg, a place to put one's foot on a vehicle such as a motorcycle...
vesicovaginal fistulas. Persistent gastrocutaneous fistulas can develop after gastrostomy. Trauma: Prolonged childbirth can lead to fistulas in women, in whom...
degree of higher brain function recovery, his family requested that his gastrostomy feedings be terminated, a request based on the fact that Brophy had verbally...
surgery and complications are dependent on the site of the enterostomy. Gastrostomies and enterostomies can be used to provide nutrition in digestive disorders...
water. The feeding tube is usually inserted by percutaneous endoscopic gastrostomy (PEG). There is weak evidence that PEG tubes improve survival. PEG insertion...
and flexibility. Gastrostomy tubes are used to circumvent feeding difficulties and prevent aspiration. A simultaneous gastrostomy tube insertion and...
bridge. In these situations traditional surgical approaches include gastrostomy followed by gastric pull-up, colonic transposition and jejunum transposition...
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