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Gastrostomy button: clinical appraisal.

R Ruangtrakool1, T H Ong

  • 1Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|September 22, 2000
PubMed
Summary
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Gastrostomy buttons are effective for long-term enteral feeding in children. Initial button placement offers longer longevity compared to replacements, with valve issues being common removal reasons.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Device Analysis

Background:

  • Gastrostomy buttons are crucial for long-term enteral nutrition in pediatric patients.
  • Understanding gastrostomy button performance and longevity is essential for optimizing patient care.

Purpose of the Study:

  • To evaluate the longevity and reasons for removal of gastrostomy buttons in children.
  • To compare the performance of initially placed gastrostomy buttons versus those inserted into mature stomas.

Main Methods:

  • Retrospective analysis of 388 gastrostomy buttons inserted in 132 pediatric patients between 1988 and 1995.
  • Data collected included patient demographics, indications for feeding, button type, longevity, and reasons for removal.
  • Statistical comparison of longevity between primary insertions and those into mature stomas.

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Main Results:

  • The average longevity for all analyzed gastrostomy buttons was 360.43 days.
  • First-time primary gastrostomy button insertions demonstrated significantly longer longevity than first insertions into mature stomas.
  • Subsequent button replacements had significantly shorter longevity compared to initial placements.
  • Valve incompetence and leakage were the primary causes for button removal.

Conclusions:

  • Gastrostomy buttons are a preferred method for long-term enteral feeding in pediatric populations.
  • Optimizing initial placement techniques may improve device longevity.
  • Further investigation into reducing complications like valve incompetence and leakage is warranted.