Gastrostomy: Stamm or Witzel, Spivac-Watsuji, Janeway gastrostomy & Utilization of transected portion of jejunum

Question 1

Gastrostomy

Answer 1

. Surgical creation of an opening from gastric mucosa to skin
. For feeding, draining or decompression of the stomach

Question 2

Gastrostomy Procedures

Answer 2

. Stamm or Witzel: Placement of synthetic tubes
. Spivac-Watsuji: Rolling gastric tissue into a tube
. Janeway gastrostomy: Raising a flap of gastric tissue
. Utilization of transected portion of jejunum

Question 3

Stamm or Witzel:

Answer 3

Placement of synthetic tubes

Stamm Procedure: It is a temporary measure that can often be performed under local anesthesia (if not performed with a gastrectomy.) It is quick, has the widest application, and is technically easy to perform, providing sufficient venting of the stomach.

Question 4

Spivac-Watsuji:

Answer 4

Rolling gastric tissue into a tube

Question 5

Janeway gastrostomy:

Answer 5

Raising a flap of gastric tissue

Question 6

Utilization of transected portion of jejunum: