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Gastrostomy button conversion into a combined gastric and jejunal access device
1Department of Pediatric Surgery, The Children's Hospital, Greenville Hospital System, SC 29605, USA.
Journal of Pediatric Surgery
|February 18, 1999
Summary
This study presents a novel method to convert a standard gastrostomy button into a dual-purpose device for gastric decompression and jejunal feeding in children. This technique offers effective palliative access for both stomach and small intestine.
Area of Science:
- Medical Devices
- Pediatric Surgery
- Gastroenterology
Background:
- Gastrostomy buttons are commonly used for enteral feeding.
- Managing both gastric and jejunal access can be challenging.
- Neurologically impaired children often require complex feeding solutions.
Purpose of the Study:
- To describe a technique for modifying a gastrostomy button.
- To create a combined gastric decompression and jejunal feeding device.
Main Methods:
- Two 9.6F central venous catheters were inserted through a 24F gastrostomy button.
- One catheter was directed to the jejunum, the other to the stomach.
- The device was secured using silicone rubber paste.
Main Results:
- The modified device was successfully implemented in seven pediatric patients.
- The technique provided simultaneous gastric and jejunal access.
Conclusions:
- This innovative approach offers an effective palliative solution for combined gastric and jejunal access.
- The modified gastrostomy button facilitates both decompression and feeding in neurologically impaired children.