Language: English Portuguese. Until the early s, Stamm technique was considered standard method to gastrostomy. After description of the endoscopic technique, due to its efficiency and speed, quickly became the method of choice for long-term enteral access. Describe a technique that combines direct view of the stomach from open surgery with the simplicity and less traumatic endoscopic gastrostomy method. In patient supine under spinal anesthesia the technique stars with small epigastric incision to pull up the stomach. A 3 mm incision in the left hypochondrium is made to pass needle puncture to guidewire passage.
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Cirurgia geral. Alguns anos depois, em , Verneoil fez a primeira gastrostomia com sucesso em humanos. Em , foi descrito por Gauderer et al. Shellito et al. Cosentini et al. Rustom et al. Em trabalho bem desenhado e prospectivo, Ljungdahl et al.
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Gastrostomy is the creation of an artificial external opening into the stomach for nutritional support or gastric decompression. Typically this would include an incision in the patient's epigastrium as part of a formal operation. It can be performed through surgical approach, percutaneous approach by interventional radiology , or percutaneous endoscopic gastrostomy PEG. The opening may be used for feeding, such as with a gastrostomy tube. 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 by the American Gastric Surgeon, Martin Stamm — , who was educated greatly in surgery when he visited Germany.
SURGICAL GASTROSTOMY BASED ON ENDOSCOPIC CONCEPTS