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Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy

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Permanent gastrostomy as a solution to some nutritional problems in the elderly.

M A Pomerantz, J Salomon, R Dunn

Journal of the American Geriatrics Society

|March 1, 1980

Summary

Elderly patients in institutions often face malnutrition. Permanent-feeding gastrostomies provide an effective nutritional solution with low risks, improving care for those with swallowing or appetite issues.

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Last Updated: Jul 23, 2026

Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy

Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy

Published on: March 17, 2026

Area of Science:

Geriatric Medicine
Surgical Gastroenterology

Background:

Increasing number of elderly patients reside in institutions.
Many elderly patients struggle to maintain adequate nutritional status.
Causes include neurological deficits, GI obstruction, and systemic diseases leading to anorexia.

Purpose of the Study:

To present data on permanent-feeding gastrostomies in elderly institutionalized patients.
To evaluate the safety and efficacy of this procedure.

Main Methods:

Performed 106 permanent-feeding gastrostomies.
Utilized a gastrointestinal anastomotic stapling device to facilitate the procedure.

Main Results:

The procedure was associated with low morbidity and mortality.
Permanent gastrostomy effectively provided adequate nutrition.

Conclusions:

Permanent gastrostomy is an effective method for nutritional support in elderly patients.
This intervention addresses malnutrition in institutionalized elderly individuals with feeding difficulties.