Advanced Surgical Oncology Unit, Department of General Surgery 1, Papa Giovanni XXIII Hospital, Piazza OMS, 1, 24127, Bergamo, Italy.
Department of General Surgery 1, Papa Giovanni XXIII Hospital, Piazza OMS, 1, 24127, Bergamo, Italy.
Updates Surg. 2020 Sep;72(3):901-905. doi: 10.1007/s13304-020-00795-6. Epub 2020 May 19.
Gastrostomy tubes, placed either endoscopically or laparoscopically, are the most widely used method to deliver enteral feeding to patients unable to be fed by mouth. Tube gastrostomy is quick and low cost and allows the health care professionals for a convenient route to deliver enteral nutrition to their patients. Nevertheless, bearing an indwelling gastric tube could not be as convenient for patients. Complications, such as bowel perforation, tube dislodgement, peristomal infection or bleeding occur in up to 17% of patients, and some other drawbacks of gastric tubes, such as peristomal pain, are often understated. We present our technique for laparoscopic creation of a tubularized continent gastrostomy, originally conceived for the emergency treatment of patients with a dislodged percutaneous endoscopic gastrostomy, to provide them with a reliable new route for gastric feeding. After healing, this gastrostomy does not need an indwelling tube to stay patent, requires only a light gauze dressing and can be used by intermittent catheterization at conventional feeding times during the day. Laparoscopic tubularized continent gastrostomy can be offered to patients as a reliable alternative to tube gastrostomy.
胃造口管，无论是通过内镜还是腹腔镜放置，都是将肠内喂养用于无法经口进食的患者的最广泛使用的方法。管胃造口术快速且成本低，并允许医疗保健专业人员通过方便的途径将肠内营养输送给患者。然而，留置胃管对患者来说可能并不方便。高达 17%的患者会发生肠穿孔、管移位、造口感染或出血等并发症，而胃管的其他一些缺点，如造口周围疼痛，往往被低估。我们介绍了一种腹腔镜下创建管状连续性胃造口术的技术，最初是为了紧急治疗经皮内镜胃造口术移位的患者而设计的，为他们提供了一种可靠的新途径进行胃内喂养。在愈合后，这种胃造口术不需要留置管来保持通畅，只需要一个轻便的纱布敷料，并可以在白天常规喂养时间通过间歇性导尿使用。腹腔镜管状连续性胃造口术可以作为管胃造口术的可靠替代方法提供给患者。
