ABSTRACT
Indications The indication for open gastrostomy is primarily the inability of the patient to
be nourished by the oral route due to obstruction or dysfunction of the oral cavity, pharynx, or esophagus. With the advent of percutaneous endoscopic gastrostomy (PEG), open gastrostomy as an isolated procedure is typically limited to those in whom PEG placement is not possible or is contraindicated. Open gastrostomy tube placement may also be performed as an adjunct to other abdominal procedures in patients with poor respiratory reserve who may not tolerate a nasogastric tube or in patients who are expected to have a long period before they are able to resume oral feedings.
