4. Gastrostomy
Objective
In case of:
• Esophageal
obstruction, e.g. carcinoma esophagus or cardiac to deliver nutrition.
• Prolonged
ileus or severe pancreatitis to provide gastric drainage (as an alternative to
nasogastric intubation).
Position
Supine.
Anesthesia
General or local.
Procedure
• Small
midline incision.
• Left
arterior wall of stomach between two Babcock’s forceps midway between greater
and lesser curvature.
• Two
purse string sutures at one and two cm radius from an imaginary center.
• Incise
the stomach at the centre and insert a 14 F Foley’s catheter and tie the two
purse strings to produce an inkwell effect.
• Bring out the tube
through a stab in the anterior abdominal wall.
• Anchor
the stomach to peritoneum and rectus sheath using interrupted 20 silk sutures.
Instruments
• Gastrointestinal
set, 1
• Foley’s
catheter, 14 F.
Any questions be sent to drmmkapur@gmail.com
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