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Witzel gastrostomy in gynecologic surgery
B F Helmkamp1, H B Krebs, L A Kiley
1Department of Obstetrics and Gynecology, Fairfax Hospital, Falls Church, Virginia 22046, USA.
Gynecologic Oncology
|January 27, 1998
Summary
Witzel gastrostomy effectively decompresses the gastrointestinal tract for patients with bowel obstruction. This procedure offers a safe and comfortable alternative to nasogastric tube suctioning for long-term decompression.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Tube gastrostomy is a common method for gastrointestinal decompression and relieving small bowel obstruction.
- The Witzel technique is a specific method for performing gastrostomy.
Purpose of the Study:
- To evaluate the efficacy and safety of the Witzel technique for gastrostomy in patients undergoing pelvic-abdominal surgery.
- To compare Witzel gastrostomy with nasogastric tube suctioning for long-term gastrointestinal decompression.
Main Methods:
- The Witzel technique was employed in 123 patients with gynecologic malignancy or clinical bowel obstruction.
- Foley catheters were utilized for the gastrostomy tube placement.
- Patient data on tube dwell time, complications, morbidity, and mortality were collected.
Main Results:
- The gastrostomy tube remained in place for a mean of 8 days (3-18 days) in 115 patients.
- Eight patients were discharged with the tube in place, functioning for 43-136 days.
- Complications occurred in 16% of patients, with no long-term morbidity or mortality.
Conclusions:
- Witzel gastrostomy is an easily learned, inexpensive procedure with an acceptable complication rate.
- It is a preferred method for anticipated long-term gastrointestinal decompression compared to nasogastric tube suctioning.
- The procedure enhances patient care and comfort during prolonged decompression.