An Improvisation in Fixation of Stamm Gastrostomy in Neonates
نویسندگان
چکیده
Long gap esophageal atresia with or without tracheo-esophageal fistula may require feeding gastrostomy as a part of staged reconstruction.[1] We have devised a technique to secure/anchor the feeding gastrostomy (Stamm gastrostomy) more easily and safely. Five neonates underwent feeding gastrostomy by this technique. Out of five patients, four patients had tracheo-esophageal fistula with long gap esophageal atresia and one patient had isolated esophageal atresia. No complication occurred in the post-operative period and feeding was started 12 hours after surgery.
منابع مشابه
Gastrostomy Placement in Children: The Method of Operation
The various technical options that have been described for gastrostomy tube placement in children include the time honored Stamm procedure, percutaneous endoscopic gastrostomy (PEG), percutaneous fluoroscopy-guided gastrostomy, several types of laparoscope-assisted gastrostomy (LG), video-assisted gastrostomy, and a combined laparoscopic and endoscopic approach as well as different variations o...
متن کاملSurgical gastrostomy: current indications and complications in a university hospital.
OBJECTIVE To analyze the surgical gastrostomies performed at a public University Hospital, their indications and complications. METHODS We conducted a retrospective, nonrandomized review of medical records of patients who underwent surgical gastrostomy from 2007 to 2011; RESULTS , In the period of studied, 86 patients underwent surgical gastrostomies for enteral nutrition. The Stamm techniq...
متن کاملPercutaneous endoscopic gastrostomy reduces total hospital costs in head-injured patients.
BACKGROUND Gastrostomies provide reliable long-term enteral access in patients with traumatic brain injuries. The impact of technique of gastrostomy on total hospital cost is not known. METHODS A retrospective analysis of patients who sustained head trauma and required gastrostomies for long-term enteral access between 1 July 1990 and 1 July 1996 was performed. RESULTS The patients who rece...
متن کاملExtubation Failure in an Adolescent Patient after General Anesthesia for Gastrostomy Tube Placement
Myasthenia gravis (MG) is an autoimmune disease resulting in destruction of the post-synaptic nicotinic receptors at the neuromuscular junction. Classically, the earliest symptoms of MG are ocular, including ptosis and diplopia. Other less common early symptoms include dysphagia and fatigable chewing. Our case report describes the unusual presentation of MG in a teenager patient and presented f...
متن کاملBabies with brain damage who can not swallow: surgical management.
BACKGROUND Neonates with severe neurological impairment are often unable to swallow, necessitating gastrostomy for feeding. Because of the risk of developing severe reflux, this procedure is often associated with fundoplication. OBJECTIVE To assess the safety and efficacy of gastrostomy and Nissen fundoplication in 22 neonates with swallowing difficulties due to serious neurological impairmen...
متن کامل