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[Minimally invasive surgical gastrostomy].
J M Miguelena Bobadilla1, M Gil Albiol, J Escartín Valderrama
1Servicio de Cirugía B, Hospital Universitario Miguel Servet, Zaragoza, España. drflax@hotmail.com
Nutricion Hospitalaria
|November 5, 2003
Summary
This study introduces a safe, simple, and economical minimally-invasive surgical gastrostomy technique. It serves as a viable alternative to percutaneous methods for selected patients, offering high success rates.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastroenterology
Context:
- Gastrostomy is crucial for nutritional support in patients unable to eat.
- Percutaneous gastrostomy is common but not always feasible.
- Alternative techniques are needed for specific patient populations.
Purpose:
- To describe a novel minimally-invasive surgical gastrostomy (MISG) technique.
- To evaluate the safety, efficacy, and outcomes of MISG.
- To compare MISG with existing surgical and percutaneous gastrostomy methods.
Summary:
- A prospective study of 15 patients undergoing MISG under local anesthesia.
- The procedure demonstrated 100% device functionality and effectiveness within 10 days.
- Outcomes included 6.6% morbidity and 0% mortality at 60 days, with 5 patients treated as outpatients.
Impact:
- MISG is a safe, simple, and cost-effective outpatient procedure.
- It meets minimally-invasive surgery criteria.
- MISG is a valuable complementary or alternative option to percutaneous gastrostomy.