Strauss T, Meyer G, Rau H G, Schardey H M, Schildberg F W
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Universität München.
Zentralbl Chir. 1998;123(10):1160-3.
For the creation of a gastrostomy percutaneous endoscopic technique should be the method of first choice. If impossible a laparoscopic procedure should be preferred to a conventional one. Laparoscopic Janeway-gastrostomy might have some advantages compared to Kader-Stamm-Fistulas. We present the results with this method which we have used since 1993 in 12 patients. The postoperative course of these patients with mainly malignant diseases of ENT (n = 4), esophagus (n = 3) and thyroid gland (n = 3) as well as two non-malignant underlying diseases is presented and discussed in the light of recent publications. The Janeway-gastrostomy is an effective, easily feasable and safe procedure that ensures a good palliation also due to easy handling and care.
对于胃造口术的建立，经皮内镜技术应是首选方法。若无法实施，腹腔镜手术应优先于传统手术。与卡德 - Stamm 瘘管术相比，腹腔镜詹韦胃造口术可能具有一些优势。我们展示了自1993年以来在12例患者中使用该方法的结果。根据近期发表的文献，介绍并讨论了这些主要患有耳鼻喉科恶性疾病（n = 4）、食管恶性疾病（n = 3）和甲状腺恶性疾病（n = 3）以及两种非恶性基础疾病的患者的术后病程。詹韦胃造口术是一种有效、易于实施且安全的手术，因其操作和护理简便，也能确保良好的姑息治疗效果。
