Type of Surgery
Information
Last updated: 11/24/2009
BOOKS
Griffith, H. Winter. Complete Guide to Symptoms, Illness, &Surgery, 3rd edition. New York: The Body Press/Perigee, 1995.
Ponsky, J. L. Techniques of Percutaneous Gastrostomy. New York: Igaku-Shoin Medical Pub., 1988.
PERIODICALS
Angus, F., and R. Burakoff. "The Percutaneous Endoscopic Gastrostomy Tube. Medical and Ethical Issues in Placement."American Journal of Gastroenterology 98 (February 2003): 272–277.
Ciotti, G., R. Holzer, M. Pozzi, and M. Dalzell. "Nutritional Support Via Percutaneous Endoscopic Gastrostomy in Children with Cardiac Disease Experiencing Difficulties with Feeding."Cardiology of the Young 12 (December 2002): 537–541.
Craig, G. M., G. Scambler, and L. Spitz. "Why Parents of Children with Neurodevelopmental Disabilities Requiring Gastrostomy Feeding Need More Support."Developments in Medical Child Neurology 45 (March 2003): 183–188.
Niv, Y., and G. Abuksis. "Indications for Percutaneous Endoscopic Gastrostomy Insertion: Ethical Aspects."Digestive Diseases 20 (2002): 253–256.
ORGANIZATIONS
American Gastroenterological Association (AGA). 4930 Del Ray Avenue, Bethesda, MD 20814. (301) 654-2055.
United Ostomy Association, Inc. (UOA). 19772 MacArthur Blvd., Suite 200, Irvine, CA 92612-2405. (800) 826-0826.
OTHER
"Stomach Tube Insertion." HealthAnswers. [cited July 6, 2003].
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While a colonoscopy is a procedure that uses a thin, flexible tube to view the lower gastrointestinal tract, the upper GI tract can be viewed as well. In a gastroscopy or what is more completely called an EGD (esophagogastroduodenoscopy) uses a similar scope to investigate the inside of the esophagus, stomach and first part of the small intestine.
For a percutaneous endoscopic gastrostomy procedure, the stomach is inflated with air (A). An incision is made into the abdomen and the stomach, and a plastic cannula is inserted (B). A catheter is inserted into the patient's mouth, pulled down the esophagus, and into the stomach (C). When the catheter is in place, access to the stomach is maintained (D). (Illustration by GGS Inc.)
Other Information
Gastrostomy refers to a surgical opening into the stomach. Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression. Typically this would include an incision in the patient's epigastrium as part of a formal operation. It can be performed through surgical approach or percutaneous endoscopic gastrostomy (PEG).
The opening may be used for feeding, such as with a gastrostomy tube.
Other Information
Biliary colic is the presenting symptom in 80% of patients with gallstone disease who seek medical care; however, only 10-20% of all individuals with gallstones experience severe gallstone pain.
From: eMedicine
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