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Intestinal button implantation for obstipation and fecal impaction in children
Journal of Pediatric Surgery
|May 1, 1992
Summary
A new technique uses a button gastrostomy device to treat chronic constipation and fecal impaction in children. This novel approach offers a long-term solution for pediatric patients with severe gastrointestinal motility issues.
Area of Science:
- Pediatric Gastroenterology
- Surgical Innovation
Background:
- Chronic obstipation and fecal impaction pose significant management challenges in pediatric care.
- Existing treatments may be insufficient for severe or recurrent cases.
Observation:
- A novel approach involved implanting a button gastrostomy device into the appendiceal stump or terminal ileum.
- This method was applied to two pediatric patients: one with pseudoobstruction syndrome and another with cystic fibrosis and meconium ileus equivalent.
Findings:
- Patients received a polyethylene glycol/electrolyte solution, with or without pancreatic enzymes, via the button device.
- Both children remained asymptomatic for at least 10 months post-procedure, indicating successful management.
Implications:
- This represents the first reported use of a button gastrostomy for managing chronic pediatric constipation and fecal impaction.
- The technique offers a promising, minimally invasive option for refractory cases, improving quality of life.