| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Spivack operation, permanent gastrostomy | Is a | Permanent gastrostomy | true | Inferred relationship | Existential restriction modifier |  |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Method | Creation - action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Spivack operation, permanent gastrostomy | Method | Exteriorization - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Spivack operation, permanent gastrostomy | Method | Incision - action | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Spivack operation, permanent gastrostomy | Method | Construction - action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Spivack operation, permanent gastrostomy | Has intent | Permanent | false | Inferred relationship | Existential restriction modifier |  |  | 
| Spivack operation, permanent gastrostomy | Direct morphology | Stoma site | false | Inferred relationship | Existential restriction modifier |  |  | 
| Spivack operation, permanent gastrostomy | Method | Bypass - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site - Direct | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site - Direct | Stomach structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Spivack operation, permanent gastrostomy | Procedure site | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Method | Surgical action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Direct morphology | Gastrostomy | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Method | Construction - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site - Indirect | Stomach structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Method | Construction - action | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Direct morphology | Gastrostomy | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Spivack operation, permanent gastrostomy | Procedure site - Indirect | Stomach structure | true | Inferred relationship | Existential restriction modifier | 1 |  |