c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Feeding Jejunostomy (Unresectable Gastric Cancer): 16

A D V E R T I S E M E N T

   
 

Seromuscular sutures were placed along the extraluminal part of the tube. (In this case, "seromuscular" is a misnomer, because the submucosa is the strong, collagen-containing layer and must be included in the bite. Evidence of an adequate submocosal bite is blanching of the submucosal vessels on elevating the needle.)      

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Feeding Jejunostomy (Unresectable Gastric Cancer): 17

A D V E R T I S E M E N T

   
 

The sutures were tied, burying a portion of the feeding tube (Witzel jejunostomy) to prevent leakage.       

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Feeding Jejunostomy (Unresectable Gastric Cancer): 18

A D V E R T I S E M E N T

   
 

The external flange was brought up to the abdominal wall.       

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This page was last modified on 2/12/2002.