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In none of the common methods of gastrostomy is there adequate provision against leakage around the gastrostomy tube and into the peritoneal cavity. I therefore suggest an expedient to which I have resorted for preventing this leakage.
The gastric wall is sutured around the tube. Then, before the stomach is anchored to the anterior abdominal wall, a piece of the omentum is drawn up and sutured to the stomach wall around the tube.
The omentum used in this way is more than a reinforcement. Its value lies rather in its inherent properties, for it heals more quickly than other body tissues; then, too, it has a tendency to insinuate itself into tiny nooks and crannies, thus sealing them up in a most satisfactory and efficacious manner.
Ulcer and Cancer.
—Many cases of cancer of the stomach could be prevented by earlier and better treatment of chronic gastric
Haines CE. PREVENTING LEAKAGE AFTER GASTROSTOMY. JAMA. 1925;84(20):1495. doi:10.1001/jama.1925.26620460005012e