GASTROSTOMY TECHNIQUE

摘要

FIELD: medicine.SUBSTANCE: gastric fistula is restored for the purpose of examining an extended oesophageal stricture with a bougie. An endoscope is placed at the level of an upper border of the oesophageal stricture. Air is insufflated into the stomach through an endoscope canal. Tissues of an anterior abdominal wall and gastric wall are incised at depth 1 cm within the postoperative scar from the gastric fistula at an angle of 45 degrees. A second endoscope is inserted into the stomach through the created gastric fistula up to a lower boundary of the stricture. A guide string is delivered through the endoscope canal through a scar stricture. The string is taken with forceps and brought out through a mouth. A guide suture is fixed to the guide string. The suture is pulled through the gastric fistula. The suture is fixed to the skin within the restored gastric fistula and to a wing of nose.EFFECT: method enables providing further forced minimally invasive non-surgical bougienage by the guide suture.1 ex