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SURGICAL GASTROSTOMY BASED ON ENDOSCOPIC CONCEPTS.

Emmanuel Conrado Souza1

  • 1State University of Santa Cruz, Ilhéus, BA, Brazil.

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|April 28, 2016
PubMed
Summary

This study introduces a novel gastrostomy technique combining open surgery visualization with endoscopic simplicity. The new method is safe, easy, and less traumatic for long-term enteral access.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation

Background:

  • The Stamm technique was the standard for gastrostomy until the 1980s.
  • Endoscopic gastrostomy rapidly became the preferred method for long-term enteral access due to its efficiency and speed.

Purpose of the Study:

  • To present a novel gastrostomy technique.
  • This method integrates direct surgical visualization of the stomach with the simplicity and reduced trauma of endoscopic procedures.

Main Methods:

  • A small epigastric incision is used to elevate the stomach.
  • A 3 mm incision allows for needle puncture, guidewire passage, and percutaneous catheter placement.
  • The stomach is secured to the abdominal wall without requiring a purse suture.

Main Results:

  • Twenty-eight patients underwent gastrostomy using this technique with endoscopic devices.
  • Six patients experienced minor local complications requiring no re-intervention.
  • No deaths were reported in the study cohort.

Conclusions:

  • This modified surgical gastrostomy is safe, simple, and effective.
  • The technique is less traumatic, quick to perform, and offers an elegant approach to gastrostomy.
  • It utilizes endoscopic gastrostomy devices for catheter retrieval through a minimal gastric incision.