Gastrostomy

Gastrostomy
ICD-9-CM43.1
MeSHD005774

A gastrostomy is the creation of an artificial external opening into the stomach for nutritional support or gastric decompression. Typically this would include an incision in the patient's epigastrium as part of a formal operation. When originally devised over a century ago the procedure was completed through open surgery using the Stamm technique.[1] It can be performed through surgical approach, percutaneous approach by interventional radiology, percutaneous endoscopic gastrostomy (PEG) or percutaneous ultrasound gastrostomy (PUG).[2]

A gastrostomy may be required due to illness, trauma or disability impacting upon the ability to eat or swallow safely, or conditions causing increased nutritional requirement [3] and once formed (or for some techniques, during formation), a gastrostomy tube is inserted.

  1. ^ Souza, Emmanuel Conrado (2016). "Surgical Gastrostomy Based on Endoscopic Concepts". Arquivos Brasileiros de Cirurgia Digestiva. 29 (1): 50–52. doi:10.1590/0102-6720201600010013. PMC 4851152. PMID 27120741.
  2. ^ Gentry Wilkerson, R.; Pustavoitau, Aliaksei; Carolan, Howard; Benner, Nolan; Fischer, Clark; Sheets, Daniel J.; Wang, Peggy I.; Tropello, Steven (2019-06-01). "Percutaneous Ultrasound Gastrostomy: A Novel Device and Bedside Procedure for Gastrostomy Tube Insertion Using Magnetic and Ultrasound Guidance". Journal of Medical Devices. 13 (2): 024501. doi:10.1115/1.4042866. ISSN 1932-6181. S2CID 115288545.
  3. ^ Braegger, Christian; Decsi, Tamas; Dias, Jorge Amil; Hartman, Corina; Kolacek, Sanja; Koletzko, Berthold; Koletzko, Sibylle; Mihatsch, Walter; Moreno, Luis; Puntis, John; Shamir, Raanan; Szajewska, Hania; Turck, Dominique; van Goudoever, Johannes; ESPGHAN Committee on Nutrition (July 2010). "Practical approach to paediatric enteral nutrition: a comment by the ESPGHAN committee on nutrition". Journal of Pediatric Gastroenterology and Nutrition. 51 (1): 110–122. doi:10.1097/MPG.0b013e3181d336d2. ISSN 1536-4801. PMID 20453670.