Marveledela Gastrostomy

Marwedel gastrostomy is a surgical procedure in which a thin tube is inserted into the wall of the stomach, which provides permanent access to its contents. This allows patients with severe gastrointestinal diseases, such as stomach cancer or esophageal stricture, to receive the nutrition they need through a tube.

The procedure was first described in 1950 by German surgeon Heinrich Marwedel, who developed it for patients with stomach cancer. At that time, gastrostomy was the only way to provide patients with adequate nutrition.

Today, Marwedel gastrostomy is used to treat various diseases, such as esophageal strictures, scar strictures, and also to restore gastric patency after gastric resection for cancer.

When performing a gastrostomy, a thin tube is inserted into the patient's stomach under general anesthesia, which passes through the wall of the stomach and exits onto the anterior surface of the abdominal wall. The tube is fixed to the skin and is equipped with a special valve that prevents food from entering back into the stomach.

After surgery, the patient can begin feeding through a tube the very next day. Nutrition is carried out using a special probe, which is inserted through a tube into the stomach and delivers food into its cavity.

The Marveldel gastrostomy has its advantages and disadvantages. The advantages are the possibility of permanent access to the stomach, the ability to feed through a tube even in the absence of swallowing movements, and the possibility of performing endoscopic procedures in the stomach.

The disadvantages are the risk of complications such as infection of the tube, damage to the stomach wall, the formation of a fistula between the stomach and the abdominal cavity, as well as the need for regular tube care and replacement if necessary.

Overall, Marvedela gastrostomy is an effective treatment for severe gastrointestinal diseases and allows patients to receive the nutrition and treatment they need.

**Marvedel Gastrostom:**

Marwedel's gastrostomy is a gastric anastomosis invented by August Marwedel in 1914 for feeding sick people.

According to rumors, Marvedea was born somewhere in a small town in central Germany in 1530. At 24, he enlisted in the German army and fought in Sweden and France. Returning to Germany at 88, he died of natural causes in Düsseldorf in 1731. This is how Marwedel entered the history of medicine. And we will plunge into his scientific activities.

One of the first studies carried out by August Bekesfer was the introduction of a probe into the stomach with