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Combined laparoscopic-fluoroscopic technique for primary gastrojejunostomy button tube placement
Melanie B LaPlant1, Mariya E Skube1, Daniel A Saltzman1
1Department of Surgery, Division of Pediatrics, University of Minnesota, Minneapolis, MN.
Journal of Pediatric Surgery
|December 26, 2018
Summary
This study introduces a novel laparoscopic/fluoroscopic technique for gastrojejunostomy (GJ) button tube placement in pediatric patients. The method proved effective with a low complication rate, simplifying enteral nutrition support.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Devices
Background:
- Gastrojejunostomy (GJ) tubes are essential for pediatric enteral nutrition.
- Existing placement methods have limitations.
Purpose of the Study:
- To present a novel primary laparoscopic/fluoroscopic GJ button tube placement technique.
- To overcome delays and difficulties associated with other methods.
Main Methods:
- A primary laparoscopic/fluoroscopic approach for GJ button tube placement.
- Technique designed to expedite jejunal limb placement.
Main Results:
- Successfully placed 52 GJ button tubes in pediatric patients.
- Low complication rate of 5.8% (3/52).
- Complications included one bowel perforation and two tube dislodgements.
Conclusions:
- The described technique is effective for GJ button tube placement.
- This method offers a low complication rate for pediatric enteral nutrition.
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