胃瘻造設術の気管食道科領域に於ける応用

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タイトル別名
  • The Application of Gastrostomy in Bronchoesophagology
  • イロウゾウセツジュツ ノ キカン ショクドウカ リョウイキ ニ オケル オウヨウ

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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.<br>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.<br>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.<br>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.

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