Summary
Observation and manipulation through the endofiberscope, have resulted in a new method
of establishing gastrostomy without laparotomy. Subsequent to experimental studies
with dogs, the new method was employed to substitute nasogastric tube in patients.
In this new procedure, endoscopic application permits the placing of stitches in close
contact with the abdominal and gastric walls. The fact that no complications were
observed in the patients submitted to operative treatment, is largely attributed to
this type of suture. From the results obtained it would seem that this procedure can
be routinely employed instead of gastrostomy with laparotomy, since it offers the
advantage of being a simpler method and is more likely to be associated with a lower
rate of complications.
Key words:
New method of gastrostomy without laparotomy - Nasogastric tube in patients - Stitches
in contact with abdominal walls
