A great many varieties of gastrostomy have been proposed and many variations are described in texts on surgical technique. Although many successful procedures are available to the surgeon, each has its disadvantages, and the ideal permanent gastrostomy has not been described. A technique of gastrostomy will be presented which, although not ideal, has been a satisfactory permanent gastrostomy.
The ideal gastrostomy should be simple to perform and easily tolerated by the patient. It should require no permanent tube, and the feeding tube should pass with ease so that the patient can feed himself. The gastrostomy stoma should not seep or leak and should require a minimum of after-care. The chief indication for gastrostomy is advanced malignant disease of the gastrointestinal tract above the stomach. In this type of patient the gastrostomy should be permanent for a life expectancy of a number of months and is not uncommon.
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