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A technique for long term continent gastrostomy.

D L Locker, J E Foster, M L Craun

    Surgery, Gynecology & Obstetrics
    |January 1, 1985
    PubMed
    Summary

    Continent gastrostomy offers advantages like no indwelling catheter and easy stoma care for long-term feeding. This surgical technique is recommended for patients needing prolonged nutritional support due to neurological damage or gastrointestinal obstruction.

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    Area of Science:

    • Surgical Innovation
    • Gastroenterology
    • Medical Devices

    Background:

    • Long-term enteral feeding is often necessary for patients with neurological deficits or gastrointestinal malignancies.
    • Conventional feeding tubes can lead to complications such as skin irritation, soiling, and erosion.
    • Maintaining gastric volume and ensuring ease of stoma care are crucial for patient well-being.

    Purpose of the Study:

    • To describe the continent gastrostomy procedure.
    • To highlight the advantages of this surgical technique over traditional methods.
    • To recommend indications for the continent gastrostomy.

    Main Methods:

    • The study describes a surgical technique for creating a continent gastrostomy.
    • This method involves creating a channel for long-term gastrointestinal access.
    • Key features include elimination of indwelling catheters and prevention of skin-level soiling.

    Main Results:

    • The continent gastrostomy eliminates the need for an indwelling catheter.
    • It prevents soiling at the skin level, improving hygiene and comfort.
    • The procedure allows long-term access to the gastrointestinal tract without fear of tube erosion.
    • It minimally impacts gastric volume and simplifies stoma care.

    Conclusions:

    • Continent gastrostomy is a valuable option for long-term tube feeding.
    • It is recommended for patients with central nervous system damage or obstructive gastrointestinal cancers.
    • The procedure is also beneficial for patients with interrupted esophagogastric continuity when reconstruction is not immediately feasible.

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