GASTROSTOMY IN THE TREATMENT OF DYSPHAGIA.

The patient who has had prolonged, severe dysphasia deserves special attention. One method of treatment is the use of a permanent gastrostomy. The authors, modifying the principles of the Beck-Jianu gastrostomy, were able to improve the primary complication of gastrostomy, namely excoriation of the skin secondary to leaking of gastric contents onto the abdominal wall. After operation various tests were utilized to attempt to force gastric contents through the gastrostomy tube onto the abdominal wall. Regurgitation of gastric contents through the modified Beck-Jianu gastrostomy did not occur.