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How do you do a Witzel Jejunostomy?

How do you do a Witzel Jejunostomy?

A “bite” is taken from the bowel on one side of the tube, then the bowel on the other side of the tube, and finally the needle is passed through the abdominal wall. This allows small bowel to cover the tube and be fixed firmly to the abdominal wall. This is repeated until the tube is completely covered.

What is a Stamm procedure?

The Stamm gastrostomy is an open technique, requiring an upper midline laparotomy and gastrotomy, with the catheter brought out in the left hypochondrium. It was first devised in 1894 by the American Gastric Surgeon, Martin Stamm (1847–1918), who was educated greatly in surgery when he visited Germany.

What are the methods of gastrostomy tube placement?

There are three methods for inserting a G-tube:

  • the percutaneous (through the skin) endoscopic gastrostomy (PEG)
  • laparoscopic technique.
  • an open surgical procedure.

What different types of gastrostomy are there?

There are two common types of gastrostomy, Percutaneous Endoscopic Gastrostomy devices (PEGS) and low-profile ‘Buttons’. Why does my child need a gastrostomy?

What is difference between G tube and J-tube?

G-tube: A G-tube is a small, flexible tube inserted in the stomach via a small cut on the abdomen. J-tube: A J-tube is a small, flexible tube inserted into the second/middle part of the small bowel (the jejunum).

What is a Witzel tunnel?

The Witzel technique is used to prevent extravasation of enteric contents at the exit site of the jejunostomy tube. This involves placing the tube along the length of the bowel for about 5 cm proximally and creating a serosal tunnel to imbricate the tube into position.

What is a Stamm gastrostomy used for?

The open Stamm gastrostomy was the method most commonly used until the invention of PEG, which offers the security of suture fixation of the stomach to the abdominal wall and a purse-string suture around the GT as it penetrates the gastric wall.

What is the difference between gastrostomy and gastrectomy?

Gastrostomy is a surgical procedure where an opening is made in the stomach, whereas gastrectomy is a procedure where a part or the complete stomach is surgically removed. Gastrostomy is usually an endoscopic procedure for feeding through a tube where due to some advanced condition the patient is unable to swallow.

How is gastrostomy performed?

Gastrostomy feeding tube (G-tube) insertion is done in part using a procedure called endoscopy. This is a way of looking inside the body using a flexible tube with a small camera on the end of it. The endoscope is inserted through the mouth and down the esophagus, which leads to the stomach.

What’s the difference between PEG and G-tube?

They are often used as the initial G-tube for the first 8-12 weeks post-surgery. PEG specifically describes a long G-tube placed by endoscopy, and stands for percutaneous endoscopic gastrostomy. Sometimes the term PEG is used to describe all G-tubes. Surgeons may place other styles of long tubes.

What is the difference between gastrostomy and PEG?

A gastrostomy tube is a tube that passes through the abdominal wall into the stomach. Often, the initial gastrostomy tube is placed endoscopically by a gastroenterologist. A tube placed this way is called a percutaneous endoscopic gastrostomy, or PEG, tube.

Which is better PEG or NGT?

Conclusion: PEG is a better choice than NGT feeding due to the decrease in risk of pneumonia requiring hospital admission, particularly in patients with abnormal amounts of pooling secretions accumulation in the pyriform sinus or leak into the laryngeal vestibule.