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Feeding gastrostomy button: experience and recommendations.

M W Gauderer1, M M Olsen, T A Stellato

  • 1Department of Surgery, Rainbow Babies and Children's Hospital, Cleveland, OH.

Journal of Pediatric Surgery
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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The gastrostomy button (GB) offers a skin-level solution for long-term feeding, reducing complications. This study reports on 90 GBs used in 56 patients over 20 months, showing promising results for gastrostomy management.

Area of Science:

  • Medical Devices
  • Gastroenterology
  • Pediatric Surgery

Background:

  • Long-term gastrostomy management presents common problems and complications.
  • A novel skin-level, nonrefluxing, nonreactive gastrostomy button (GB) was developed to address these issues.
  • The GB is a self-retaining silicon device with a one-way valve, requiring an adapter for feeding.

Purpose of the Study:

  • To evaluate the clinical experience and performance of the gastrostomy button (GB) in a patient cohort.
  • To analyze the efficacy and complications associated with the GB over a 20-month period.

Main Methods:

  • A retrospective analysis of 90 gastrostomy buttons (GBs) used in 50 children and 6 adults over 20 months.
  • Data collected included GB size, duration of use, patient demographics, and reasons for GB changes or removal.

Related Experiment Videos

  • Complications such as leakage, dislodgement, and mechanical defects were documented.

    • Main Results:

    • Ninety GBs were used for a total of 485 patient-months, with an average duration of 8.9 months in pediatric patients.
    • The majority of GBs performed well, with documented durations ranging from under 1 month to over 12 months.
    • Complications included valve incompetence leading to leakage (23 instances) and accidental dislodgement (4 instances).

    Conclusions:

    • The gastrostomy button (GB) demonstrates a viable alternative for long-term enteral feeding, effectively circumventing many traditional gastrostomy management issues.
    • While complications like valve incompetence and dislodgement were observed, they were manageable, and early feeding adapter issues were resolved.
    • The GB shows promise in improving patient quality of life and simplifying long-term feeding regimens.