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Appendico-gastrostomy: a new technique for long-term feeding
1Department of Surgery, Guru Tegh Bahadur Hospital, Delhi, India. mohtaanup@hotmail.com
ANZ Journal of Surgery
|September 24, 2004
Summary
A novel non-refluxing gastrostomy technique uses the appendix as a catheterizable conduit for long-term feeding in children. This method is particularly useful in cases like malrotation where the appendix is near the stomach.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Long-term feeding is crucial for pediatric patients with specific medical conditions.
- Traditional gastrostomy methods can sometimes lead to complications like reflux.
Purpose of the Study:
- To describe a new technique for non-refluxing gastrostomy in children using the appendix.
- To present the appendix as a viable option for a catheterizable, non-refluxing feeding conduit.
Main Methods:
- A surgical technique involving the transplantation of the appendix on its vascular pedicle.
- Utilizing the appendix as a conduit for gastrostomy, ensuring it is non-refluxing.
Main Results:
- The described technique provides a non-refluxing gastrostomy.
- The appendix functions effectively as a catheterizable conduit for long-term feeding.
Conclusions:
- This appendiceal gastrostomy technique offers a safe and effective method for long-term pediatric feeding.
- The procedure is particularly applicable in situations with favorable appendix proximity to the stomach, such as malrotation.