March 1958

Indications and Uses for Gastrostomy Tube Suction in Surgery of the Upper Abdomen

Author Affiliations

Whittier, Calif.

AMA Arch Surg. 1958;76(3):451-454. doi:10.1001/archsurg.1958.01280210121024

Gastric suction applied through a Stamm gastrostomy catheter has proved to be a very useful and often important adjunct to the postoperative management of certain operative cases. A gastrostomy catheter can be placed through the anterior wall of the stomach, brought out through the upper abdominal wall, and then attached to suction apparatus.

The use of tubes for medical decompression of the stomach dates back to John Hunter.7,9 Duodenal tubes were first introduced by Turck13 and Hemmeter5 (1896). Gastrostomy suction tubes were in use prior to 1930 at the Einar Key Clinic in Stockholm.12 Among the early advocates of postoperative gastrostomy tube suction in this country was Dr. J. Shelton Horsley,6 of Virginia, who illustrated its use following Billroth I subtotal gastrectomy (1939). Bisgard2 (1942) advocated a similar method of jejunal decompression, with the catheter brought out through the stomach wall and down through

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