GI Catheters - Feeding Gastrostomy (Janeway)
This GI Catheters – Feeding Gastrostomy (Janeway) course will teach you:
- How to create an open feeding gastrostomy by placement of three concentric purse string sutures in the stomach wall to invaginate the gastric wall around the catheter. This procedure is performed to gain access to the stomach for enteral feeding or for the purpose of gastric decompression
Special attention is paid to the following hazards you may encounter during this GI Catheters – Feeding Gastrostomy (Janeway) procedure:
- Postoperative tension on the stomach
- Transection of the innermost suture
- Balloon damage
With the following tips you might perform this GI Catheters – Feeding Gastrostomy (Janeway) procedure even better:
- Determination of the ostomy site
- Distance between different suture rows
- Direction of catheter introduction
- Suture placement
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Step by step
Abdominal cavity approach
Mark the skin longitudinally in the midline, just proximal to the umbilicus, over a length of approximately 5 cm.
Mark the skin for the ostomy on the left upper quadrant over a length of approximately 2 cm.
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