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Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice

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A simplified open gastrostomy under local anesthesia.

R W Zickler¹, J T Barbagiovanni, K G Swan

¹Department of Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, USA.

The American Surgeon

|August 21, 2001

Summary

A modified Stamm gastrostomy, passing the tube through the omentum, allows for safe and comfortable open gastrostomy under local anesthesia in patients with neuromuscular disorders.

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Area of Science:

Surgical Procedures
Anesthesiology
Gastroenterology

Background:

Patients with neuromuscular disorders often require gastrostomy revisions.
Anesthetic risks commonly limit options like general anesthesia, sedation, or endoscopy for these patients.

Purpose of the Study:

To present a modified Stamm gastrostomy technique suitable for local anesthesia.
To reduce patient discomfort and anesthetic risks associated with gastrostomy procedures.

Main Methods:

Modification of the Stamm gastrostomy involves passing the tube through the omentum to the abdominal wall.
This technique utilizes local anesthesia, avoiding general anesthesia, sedation, or endoscopy.
A smaller midline incision is employed.

Main Results:

The modified technique ensures a seal at the surgical site and eliminates the need for tacking sutures.
Over 10 years, this open gastrostomy under local anesthesia was performed on over 35 patients.
No documented leaks were reported in the patient cohort.

Conclusions:

This modified open gastrostomy technique is effective and safe for patients with neuromuscular disorders.
It significantly reduces patient discomfort and anesthetic risks.
The procedure is readily accomplished under local anesthesia with no leaks.