Gastrostomy: Evolution of Surgical Techniques

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Abstract

Up to date data analysis of development and advance of gastrostomy surgical technique as well as its evolution are presented in details. Principal technical modalities of gastrostomy creation including laparotomy, miniinvasive laparoscopic approach, percutaneous endoscopic and percutaneous X-ray endoscopic gastrostomy are summarized alongside with their technical pitfalls and disadvantages. Clinical data of gastrostomy is imposed. Possible options of complications caused by technical drawbacks and functioning of gastrostomy are highlighted and described. Analysis of literature review allowed us make the conclusion of percutaneous endoscopic gastrostomy to be the most perspective from the technical and clinical efficacy point of view.

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About the authors

Ekaterina V. Frolova

Moscow State University of Medicine and Dentistry; Centrosoyuz Hospital of Russian Federation

Email: cherrykate@bk.ru
ORCID iD: 0000-0003-0498-6674
SPIN-code: 3820-2231

MD

Russian Federation, 4 Dolgorukovskaya str., 127006, Moscow; 39, Losinoostrovskaya, 107150 Moscow

Edgar Kh. Samsonyan

Moscow State University of Medicine and Dentistry

Author for correspondence.
Email: edgar_le4@mail.ru
ORCID iD: 0000-0001-7984-6559
SPIN-code: 5145-3493

MD, PhD, Assistant Professor

Russian Federation, 4 Dolgorukovskaya str., 127006, Moscow

Sergei I. Emelyanov

Moscow State University of Medicine and Dentistry

Email: prof-emelyanov@yandex.ru
ORCID iD: 0000-0002-2575-1842

MD, PhD, Professor, Corresponding Member of the RAS

Russian Federation, 4 Dolgorukovskaya str., 127006, Moscow

Dmitriy Yu. Bogdanov

Moscow State University of Medicine and Dentistry

Email: dbogdanov@yandex.ru
ORCID iD: 0000-0003-0631-5487
SPIN-code: 9272-7713

 MD, PhD, Professor

Russian Federation, 4 Dolgorukovskaya str., 127006, Moscow

Ramil A. Bashirov

Centrosoyuz Hospital of Russian Federation

Email: beshirov@hotmail.com
ORCID iD: 0000-0002-1779-6004
SPIN-code: 3504-6997

MD, PhD

Russian Federation, 39, Losinoostrovskaya, 107150 Moscow

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Supplementary files

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2. Fig.1. Gastrostomy according to Witzel

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3. Fig.2. Gastrostomy according to Stamm–Senn–Kader

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4. Fig.3. Gastrostomy according to Topver

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5. Fig.4. Percutaneous puncture endoscopic gastrostomy after installation

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