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Janeway gastrostomy in children with cerebral palsy

Authors
Journal
Journal of Pediatric Surgery
0022-3468
Publisher
Elsevier
Publication Date
Volume
19
Issue
6
Identifiers
DOI: 10.1016/s0022-3468(84)80372-3
Keywords
  • Gastrostomy
  • Cerebral Palsy

Abstract

Brain damaged children frequently, are unable to eat by mouth due to incoordination of tongue and pharyngeal swallowing muscles. The commonly utilized Stamm gastrostomy has several drawbacks relative to the indwelling catheter. A permanent gastrostomy consisting of a mucosal-lined tube flap from the stomach wall, as described by Janeway, is easily constructed using the GIA stapler. This provides a simple, tubeless, and safe way to feed cerebral palsied children unable to eat by mouth.

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