Comparison of Single-incision Surgical Gastrostomy with other Gastrostomy Methods

Özet

Introduction: Many surgical methods have been defined for gastrostomy, including open surgery and endoscopic methods. There are very few reports on single-incision gastrostomy. In this study, we aimed to share our experience of single-incision surgical gastrostomy, which is less known than other methods, by comparing it with other gastrostomy methods. Methods: Between June 2016 and June 2019, in Ümraniye E.A.H. 15, patients undergoing SIG, 14 patients undergoing Stamm gastrostomy (SG) and 11 patients undergoing percutaneous endoscopic gastrostomy (PEG) were evaluated retrospectively in this study. Age, sex, indication for operation, operation method, operation time and postoperative complications were compared. Results: Gastric perforation was observed in one patient, and a gastrostomy tube was absent in another patient. Laparotomy and SG were performed in both patients. Two patients who underwent SIG had eventration at the incision site and granulation around the tube in six patients. Evolution was treated with local suture and granulation was treated with silver nitrate. In one patient who underwent Stamm gastrostomy, laparotomy was performed because of the development of brid ileus. No major complication requiring laparotomy was seen in any patient who underwent SIG. Discussion and Conclusion: SIG is easy to perform, minimally invasive, and the complication rate is lower than other methods