Mansour A Y, Lou M A, Ahmed A
J Natl Med Assoc. 1988 Sep;80(9):1006-8.
For patients who are not able to maintain nutrition by normal oral feeding, the choices of nutritional support can be parenteral, enteral, or gastric. Very little has been written in recent surgical literature about permanent feeding gastrostomies. Dissatisfaction with the conventional Stamm and Witzel gastrostomies prompted the authors to devise an improved method that creates a stapler-constructed, proximally based, antral gastric tube with an antireflux valve made by imbricating the gastric wall around the base of the gastric tube. Forty such procedures done between 1982 and 1984 were reviewed.When properly constructed, this antireflux feeding gastrostomy has the distinct advantage of being physiologic, economical, and easy to maintain for long-term use. If the patient recovers to the point of no longer needing the feeding gastrostomy, the tube stoma can be closed easily under local anesthesia.
对于无法通过正常经口进食维持营养的患者，营养支持的选择可以是肠外营养、肠内营养或胃内营养。近期外科文献中关于永久性胃造口术的论述极少。对传统的 Stamm 胃造口术和 Witzel 胃造口术的不满促使作者设计出一种改良方法，即制作一个用吻合器构建的、近端为基底的胃窦胃管，并通过在胃管基部周围折叠胃壁制成一个抗反流瓣膜。回顾了1982年至1984年间进行的40例此类手术。如果构建得当，这种抗反流胃造口术具有生理性、经济性且易于长期维护的显著优点。如果患者康复到不再需要胃造口术的程度，造口管可在局部麻醉下轻松闭合。
