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Journal of Parenteral and Enteral Nutrition
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Skin-Level Gastrostomies and Jejunostomies for Long-Term Enteral Feeding

Moshe Shike, M.D.

Gastroenterology and Nutrition Services, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York

Carl Wallach, M.D.

Gastroenterology and Nutrition Services, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York

Hans Gerdes, M.D.

Gastroenterology and Nutrition Services, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York

Mindy Hermann-Zaidins, R.D.

Gastroenterology and Nutrition Services, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York

Skin level gastrostomies and jejunostomies were used in 17 patients for long-term enteral feeding. These devices offer greater comfort to the patient and less potential complications and dysfunction compared to tube gastrostomies and jejunostomies. Placement of the skin level devices requires "mature" gastrocutaneous and jejunocutaneous fistulas. These fistulas can be created by initial placement of percutaneous endoscopic gastrostomies and jejunostomies. (Journal of Parenteral and Enteral Nutrition 13:648-650, 1989)

Journal of Parenteral and Enteral Nutrition, Vol. 13, No. 6, 648-650 (1989)
DOI: 10.1177/0148607189013006648
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