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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
PubMed

Insights

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.
Abstract

Keywords:
Enteral accessFluoroscopyGastric feeding intoleranceGastrojejunostomy tubeLaparoscopyPediatrics

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