Indications, Morbidity, and Mortality of Surgical Gastrostomy in Delayed Emergency

Abstract

Background: Around the year of 1970-1980, Gastrostomy was analyzed by a technique called Stamm technique. After this, endoscopic techniques evolved and because of its efficiency and convenience it became the permanent choice especially for a longer period of enteral route. The main objective of the study is to evaluate the indications and morbidity and mortality rates of surgical gastrostomies. Materials and methods: It was a retrospective type of study in which a total of 200 patients were selected and surgical gastrostomy was performed on them in accordance with Witzel technique. A complete analysis of the patient’s age, sex, anesthesia type, indication, complications and mortality for 30 days were done. The listed complications were classified as major and minor types.
Results: The mean of the patients in this study was 63 years. Gastrostomy was carried out for enteral nutrition in 15% of the patients and for gastric decompression in 85% of the patients. The important complications observed in the patients were neurological pathologies, tumors in lungs, digestive cancers, urological cancers and a variety of abdominal disorders. And the total mortality rate for 30 days was reported to be 16%.
Conclusion: The Witzel technique of gastrostomy can be used in a large number of cases with different diseases and it also yields an acceptable level of Morbidity and 30- day mortality rates. Since this study deals with only a single centre these analysis provides a
complete review of the surgical gastrostomy in delayed emergency.