Surgical gastrostomy with mini laparatomy under local anesthesia: analysis of 62 cases

CEBRAİL AKYÜZ

  • Yıl : 2020
  • Cilt : 36
  • Sayı : 1
  •  Sayfa : 18-21

Objective: Feeding gastrostomy is generally needed in the cases of oropharnyngeal dysphagia. The objective of this study is to analyze the use of surgical gastrostomy with mini laparatomy under local anaesthesia in situations where endoscopic procedure is not possible.

Methods: Stamm gastrostomy was performed in 62 patients in whom oral and nasogastric tube feeding could not be given and percutaneous endoscopic gastrostomy could not be performed.

Results: A mean age of 63.7 years and 83.9% of them were ASA IV. The indications for gastrostomy were tumour obstruction, neuromuscular diseases, paralysis and cerebrovascular bleeding, oesophageal injury, metastatic tumours and hypoxic encephalopathy in 51.6, 17.7, and 16.6, 1.6 and 12.9% respectively. The mean operation duration was 34 ± 12.8 minutes. Procedure-dependent hospital morbidity and mortality were low (% 16.2- % 14.5, respectively).

Conclusion: Stamm gastrostomy with mini laparatomy under local anaesthesia is an effective alternative in situations where percutaneous or endoscopic procedures cannot be done. It can be performed in high-risk patients safely due to its short operation time, low morbidity and mortality.

Atıf yapmak için : Akyüz C. Surgical Gastrostomy with Mini Laparatomy Under Local Anesthesia: Analysis of 62 Cases. Selcuk Med J 2020;36(1): 18-21
Açıklama : Yazarların hiçbiri, bu makalede bahsedilen herhangi bir ürün, aygıt veya ilaç ile ilgili maddi çıkar ilişkisine sahip değildir. Araştırma, herhangi bir dış organizasyon tarafından desteklenmedi.Yazarlar çalışmanın birincil verilerine tam erişim izni vermek ve derginin talep ettiği takdirde verileri incelemesine izin vermeyi kabul etmektedirler.
Surgical gastrostomy with mini laparatomy under local anesthesia: analysis of 62 cases
, Vol. 36 (1)
Geliş Tarihi : 02.10.2018, Kabul Tarihi : 02.10.2018, Yayın Tarihi : 03.03.2020
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;