GASTROSTOMY

GASTROSTOMY

A gastrostomy may be requested for nutritional support. Options include an open Stamm gastrostomy , a Ponsky– Gauderer percutaneous endoscopic gastrostomy (PEG) or a laparoscopic approach using a Seldinger technique. The Stamm gastrostomy employs two gastric purse-string sutures Henry Judah Heimlich , 1920–2016, thoracic surgeon, Xavier University , Cincinnati, OH, USA. Martin Stamm , 1847–1918, American gastric surgeon, educated in Germany . Je ff rey Ponsky , contemporary , endoscopist, Rainbow Babies & Children’s Hospital, University Hospitals of Cleveland, Cleveland, OH, USA. Michael WL Gauderer , contemporary , paediatric surgeon, Greenville, SC, USA. Sven Ivar Seldinger , 1921–1998, Swedish radiologist, introduced the procedure in 1953. Carl Max Wilhelm Wilms , 1867–1918, German pathologist and surgeon, died of diphtheria after operating on the larynx of a French prisoner of war. scope illuminates the stomach and abdominal wall, allowing identification of a site through which a needle and wire are passed into the stomach and extracted orally . A gastrostomy tube is then drawn into place. In the Seldinger technique , the stomach is punctured percutaneously with a needle through which a guidewire is advanced, and the needle is then with - drawn. A series of dilators are passed over the guidewire and finally the gastrostomy tube; the guidewire is then withdrawn. GASTROSTOMY

A gastrostomy may be requested for nutritional support. Options include an open Stamm gastrostomy , a Ponsky– Gauderer percutaneous endoscopic gastrostomy (PEG) or a laparoscopic approach using a Seldinger technique. The Stamm gastrostomy employs two gastric purse-string sutures Henry Judah Heimlich , 1920–2016, thoracic surgeon, Xavier University , Cincinnati, OH, USA. Martin Stamm , 1847–1918, American gastric surgeon, educated in Germany . Je ff rey Ponsky , contemporary , endoscopist, Rainbow Babies & Children’s Hospital, University Hospitals of Cleveland, Cleveland, OH, USA. Michael WL Gauderer , contemporary , paediatric surgeon, Greenville, SC, USA. Sven Ivar Seldinger , 1921–1998, Swedish radiologist, introduced the procedure in 1953. Carl Max Wilhelm Wilms , 1867–1918, German pathologist and surgeon, died of diphtheria after operating on the larynx of a French prisoner of war. scope illuminates the stomach and abdominal wall, allowing identification of a site through which a needle and wire are passed into the stomach and extracted orally . A gastrostomy tube is then drawn into place. In the Seldinger technique , the stomach is punctured percutaneously with a needle through which a guidewire is advanced, and the needle is then with - drawn. A series of dilators are passed over the guidewire and finally the gastrostomy tube; the guidewire is then withdrawn. GASTROSTOMY

A gastrostomy may be requested for nutritional support. Options include an open Stamm gastrostomy , a Ponsky– Gauderer percutaneous endoscopic gastrostomy (PEG) or a laparoscopic approach using a Seldinger technique. The Stamm gastrostomy employs two gastric purse-string sutures Henry Judah Heimlich , 1920–2016, thoracic surgeon, Xavier University , Cincinnati, OH, USA. Martin Stamm , 1847–1918, American gastric surgeon, educated in Germany . Je ff rey Ponsky , contemporary , endoscopist, Rainbow Babies & Children’s Hospital, University Hospitals of Cleveland, Cleveland, OH, USA. Michael WL Gauderer , contemporary , paediatric surgeon, Greenville, SC, USA. Sven Ivar Seldinger , 1921–1998, Swedish radiologist, introduced the procedure in 1953. Carl Max Wilhelm Wilms , 1867–1918, German pathologist and surgeon, died of diphtheria after operating on the larynx of a French prisoner of war. scope illuminates the stomach and abdominal wall, allowing identification of a site through which a needle and wire are passed into the stomach and extracted orally . A gastrostomy tube is then drawn into place. In the Seldinger technique , the stomach is punctured percutaneously with a needle through which a guidewire is advanced, and the needle is then with - drawn. A series of dilators are passed over the guidewire and finally the gastrostomy tube; the guidewire is then withdrawn.