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Endoscopic vs surgical gastrostomy for enteral nutrition

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Summary

A retrospective review of 78 patients who had undergone endoscopic gastrostomy and 22 patients who had undergone Stamm gastrostomy was carried out. The mean operative time for the Stamm gastrostomy group was 63 min, while that for the endoscopic gastrostomy group was 26 min. One operative complication — bleeding — requiring reoperation occurred in the Stamm gastrostomy group. The incidences of aspiration, pneumonia, wound infection, and mortality were significantly higher in the Stamm gastrostomy group. We conclude that percutaneous endoscopic gastrostomy is the preferred technique for long-term enteral nutrition.

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References

  1. Gauderer MWL, Ponsky JL (1981) A simplified technique for constructing a tube feeding gastrostomy. Surg Gynecol Obstet 152: 83–85

    Google Scholar 

  2. Gauderer MWL, Ponsky JL, Izant RJ (1980) Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 15: 872–875

    Google Scholar 

  3. Heimbach DM (1970) Surgical feeding procedures in patients with neurologic disorders. Ann Surg 172: 311–314

    Google Scholar 

  4. Ho CS (1983) Percutaneous gastrostomy for jejunal feeding. Radiology 149: 595–596

    Google Scholar 

  5. Larson DE, Fleming CR, Ott BJ, Schroeder KW (1983) Percutaneous endoscopic gastrostomy: simplified access for enteral nutrition. Mayo Clin Proc 58: 103–107

    Google Scholar 

  6. Peters TG, Jackson AW, Luther WR (1983) Feeding stoma surgery on a nutritional support service. J Parenter Ent Nutrit 7: 374–377

    Google Scholar 

  7. Ponsky JL, Gauderer MWL, Stellato TA (1983) Percutaneous endoscopic gastrostomy. Arch Surg 118: 913–914

    Google Scholar 

  8. Ponsky JL, Gauderer MWL, Stellato TA, Aszodi A (1985) Percutanous approaches to enteral alimentation. Am J Surg 149: 102–105

    Google Scholar 

  9. Preshaw RM (1981) A percutaneous method of inserting a feeding gastrostomy tube. Surg Gynecol Obstet 152: 659–660

    Google Scholar 

  10. Russell TR, Brotman M, Norris F (1984) Percutaneous gastrostomy: a new simplified and cost-effective technique. Am J Surg 148: 132–137

    Google Scholar 

  11. Stamm M (1894) Gastrostomy by a new method. Med News 65: 324

    Google Scholar 

  12. Stellato TA, Gauderer MWL, Ponsky JL (1984) Percutaneous endoscopic gastrostomy following previous abdominal surgery. Ann Surg 200: 46–50

    Google Scholar 

  13. Strodel WE, Lemmer J, Eckhauser F, Botham M, Dent T (1983) Early experience with endoscopic percutaneous gastrostomy. Arch Surg 118: 449–453

    Google Scholar 

  14. Swartzendruber FD, Laws HL (1982) The superior feeding gastrostomy. Am Surg 48: 276–278

    Google Scholar 

  15. Wasiljew BK, Ujiki GT, Beal JM (1982) Feeding gastrostomy: complications and mortality. Am J Surg 143: 194–195

    Google Scholar 

  16. Wilkinson WA, Pickleman J (1982) Feeding gastrostomy: a reappraisal. Am Surg 48: 273–275

    Google Scholar 

  17. Wills JS, Oblesby JT (1983) Percutaneous gastrostomy. Radiology 149: 449–453

    Google Scholar 

References

  1. Editorial (1983) Endoscopic gastrostomy. Lancet II: 144–145

  2. Gauderer MWL, Ponsky JL, Izani RJ (1980) Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 15: 872–875

    Google Scholar 

  3. Ponsky JL (1984) Percutaneous endoscopic gastrostomy and jejunostomy: endoscopic highlights. Gastrointest Endosc 30: 306–307

    Google Scholar 

  4. Ruge J, Vazquez M (1986) An analysis of the advantages of Stamm and percutaneous endoscopic gastrostomy. Surg Gynecol Obstet 162: 13–16

    Google Scholar 

  5. Russell T, Brotman M, Norris F (1984) Percutaneous gastrostomy. Am J Surg 148: 132–137

    Google Scholar 

  6. Vestweber K-H, Troidl H, Sommer H (1984) Perkutane endoskopische Gastrostomie. Eine neue Technik zur enteralen Ernährung. Dtsch Med Wochenschr 109: 1203–1204

    Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Toronto Western Hospital, and University of Toronto, Toronto, Ontario, Canada

    H. S. Himal & S. Schumacher

  2. Städtisches Krankenhaus Köln-Merheim, II. Chirurgischer Lehrstuhl der Universität zu Köln, Ostmerheimer Strasse 200, D-5000, Köln 91, Federal Republic of Germany

    K. -H. Vestweber

Authors
  1. H. S. Himal
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  2. S. Schumacher
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  3. K. -H. Vestweber
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Himal, H.S., Schumacher, S. & Vestweber, K.H. Endoscopic vs surgical gastrostomy for enteral nutrition. Surg Endosc 1, 33–35 (1987). https://doi.org/10.1007/BF00703085

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  • DOI: https://doi.org/10.1007/BF00703085

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