胃瘻造設術の気管食道科領域に於ける応用

抄録

Gastrostomy is performed mainyl to facilitate the intake of nourishment thereby prolonging life of patient suffering from advanced esophageal cancer or as a means to dilate cicatrized stenosis by retrograde bouginage.
In the application of gastrostomy authors have gone one step further. They attained a beneficial result in performing gastrostomy prior to laryngectomy, surgery of cleft palate or and periesophageal abscesses.
Authors point disadvantages of nasal catheter in that 1) it entails discomfort to patient, 2) it is difficult to supply sufficient nourishment through a small calibred tube ; 3) the operative wound is lskely injured by the tip of catheter which would delay healing.
Authors experience with socalled “advance gastrostomy” in 6 laryngectomies, one cleft palate operation and one resection of carcinoma of the esophagus, one cicatricial stenosis of the esophagus showed remarkable result in recuperation and shortening the hospitalization.