The gastrostomy “button”—A simple, skin-level, nonrefluxing device for long-term enteral feedings (original) (raw)

Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience

International Journal of Pediatrics

Background and Objective. Gastrostomy tube insertion is one of the most common procedures performed as a radical choice to overcome feeding difficulty in children. This study is aimed at describing the replacement of a button tube instead of the long tube for feeding infants and children requiring gastrostomies in a tertiary care hospital. Design and Setting. This retrospective cross-sectional descriptive study was conducted between January 2009 and August 2019 at Salmaniya Medical Complex which is a tertiary health care institute in the Kingdom of Bahrain. Subjects and Methods. Both charts and electronic health records of pediatric patients between the ages of 0 and 14 years were reviewed. Data were collected including age, sex, nationality, diagnosis, surgical information (procedure center and procedure performed), complications, and follow-up. Results. Out of 34 patients who underwent gastrostomy tube insertion, 30 patients had their long tube replaced by a button gastrostomy. Ma...

Gastrostomy Tubes: Care and Feeding

Pediatric emergency care, 2017

Parents often bring their children to the emergency department for adverse events with their child's gastrostomy tube or button. This review will discuss the possible complications and the methods to handle them.

Gastrostomy use in children: a 3-year single centre experience

Acta gastro-enterologica Belgica

Monocentric retrospective paediatric study describing indications for gastrostomy and major complications, compared to literature data as part of a quality check. Records of all gastrostomy patients consulting at the UZ Ghent paediatric gastro-enterology department between January 2007-December 2009 were reviewed in December 2010 regarding indication, age and weight at tube insertion, insertion method, major complications and current gastrostomy tube type. 178 patients were included of which 165 (93%) were placed using the endoscopic pull technique, the others were placed surgically (n = 13). Neurodevelopmental disability with oral motor dysfunction was the major indication (113, 63%). Other indications were failure to thrive due to concomitant disease (65, 37%). Median age at tube insertion was 3yr (interquartile range (IQR) 0.6-9) with median tube time of 3.9 yr (IQR 1.9-7.2). Immediate complications were 1 peritonitis and 1 post-insertion fever episode. Late complications (10, 5....

Gastrostomy Placement and Management in Children: A Single-Center Experience

Nutrients

BACKGROUND: To prevent malnutrition and food aspiration in children with chronic neuromuscular problems, enteral nutrition provided by gastrostomy is recommended. Long-term follow-up data about surgical and medical complications of PEG are available, but few papers have addressed all of the issues in the same series. METHODS: This retrospective study enrolled patients under 18 years who had a gastrostomy tube placed at our institution between 2003 and 2017. The aim is to evaluate outcomes after gastrostomy placement, focusing both on surgical complications (early and late), and its effect on their nutritional status, on the prevention of pulmonary infections, and their parents’ opinion. RESULTS: Eighty-four gastrostomies were placed in total (35 F; 49 M). Seventy-seven patients had a severe neurocognitive impairment (GMFCS 5). The principal indication for gastrostomy was severe dysphagia (53.3%). No gastrostomy-related death was observed. Early surgical complications were observed i...

Prospective multicenter evaluation of an initially placed button gastrostomy

Gastrointestinal Endoscopy, 1995

Eight-six patients were prospectively evaluated following placement of the One-Step gastric button. Placement problems, most commonly caused by the stoma measurement device, were noted in 17%. In an additional 30% of patients, peristomal infection, leakage, or migration developed within the first 90 days of placement. The authors conclude that although this gastric button can be placed in the majority of patients, potential design and placement problems may produce significant intraprocedural and postprocedural complications.

Gastrostomy Placement in Children: The Method of Operation

Purpose: The aim of this report is to summarize recent reports comparing the outcomes and the complications between the two most adopted procedures for gastrostomy placement in children: percutaneous endoscopic Gastrostomy (PEG) and laparoscopic Gastrostomy (LG). Methods: Electronic databases were queried for comparative studies of the two most common insertion techniques, including the PEG and LG. Major Complications were defined as reoperation within 30 days or death. Results: Recent studies comparing PEG and LG revealed an increased risk in major complications with PEG. Conclusion: PEG is associated with an increased risk of major complications when compared to the LG approach.