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Endoscopy 1984; 16(6): 219-222
DOI: 10.1055/s-2007-1018584
New Methods and Instruments

© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Percutaneous Gastrostomy without Laparotomy

K. Hashiba, C.E. Fabbri, C.A. Cappellanes, P.D. Branco, D. Birolini, M.R. Oliveira
  • 3a. Clínica Cirurgica - Hospital das Clinicas da Faculdade de Medicina de Universidade de S. Paulo
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Publication History

Publication Date:
15 April 2008 (online)

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Summary

Observation and manipulation through the endofiberscope, have resulted in a new method of establishing gastrostomy without laparotomy. Subsequent to experimental studies with dogs, the new method was employed to substitute nasogastric tube in patients. In this new procedure, endoscopic application permits the placing of stitches in close contact with the abdominal and gastric walls. The fact that no complications were observed in the patients submitted to operative treatment, is largely attributed to this type of suture. From the results obtained it would seem that this procedure can be routinely employed instead of gastrostomy with laparotomy, since it offers the advantage of being a simpler method and is more likely to be associated with a lower rate of complications.

Key words:

New method of gastrostomy without laparotomy - Nasogastric tube in patients - Stitches in contact with abdominal walls

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