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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

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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