What about purse string, tube and tunnel gastrostomy?

Update Date: 2022-12-01 Source: Network

summary

If esophageal cancer can not be resected, it can be used as an operation to relieve symptoms. If the estimated survival time is longer than 3 months, permanent gastrostomy is feasible; If the survival time was shorter than 3 months, temporary gastrostomy was performed. Let's share my experience with you.

What about purse string, tube and tunnel gastrostomy?

Patients with esophageal obstruction can not eat for a long time before operation, and most of them are malnourished. They must be given adequate infusion and blood transfusion to correct dehydration and anemia, improve nutrition, enhance tolerance to operation and ensure wound healing. Most of the patients with gastrostomy are weak, and regional or local anesthesia is the first choice; General anesthesia can also be used for patients with mental stress.

Tunnel gastrostomy is also a kind of temporary gastrostomy. The incision is the same as "purse string gastrostomy". The site of stoma should be on the side of pianyou. First, a layer of purse string suture was made on the gastric wall. The gastric wall was cut in the purse string suture center, and a common catheter (F20 ~ 24) was inserted. The head end was 3 ~ 5cm deep into the gastric cavity, and the purse string suture was contracted. Then a row of plasma muscular layer along the long axis of the catheter was sutured intermittently (Lambert) to make the plasma muscular layer of the gastric wall turn inward, forming a 5cm long tunnel for embedding the catheter.

Then, the upper and lower gastric walls of the catheter and the upper and lower peritoneum of the puncture hole were sewed with one needle respectively to fix the gastric wall on the parietal peritoneum, and then the abdominal incision was sutured layer by layer.

matters needing attention

In the diet must also control the salt intake, do not eat spicy food such as coffee, strong tea, you can eat more cereals such as cereals, oats or soybeans, you can drink more water or milk, but do not drink carbonated drinks.