Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience

Related Experiment Video

Updated: Dec 2, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
04:14

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

763

Fayza Haider1, Hasan Mohamed Ali Isa2, Mohamed Amin Al Awadhi3

  • 1Department of Surgery-Pediatric Surgery Unit, Clinical Lecturer, Arabian Gulf University, Manama, Bahrain.

International Journal of Pediatrics
|November 2, 2020
PubMed

Insights

Button gastrostomy tube replacement is beneficial for children requiring prolonged nasogastric tube feeding, often due to neurological impairment. Most patients experienced no complications after the button tube procedure, indicating improved outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Prolonged nasogastric tube feeding is a common necessity for pediatric patients with specific medical conditions.
  • Feed intolerance and gastroesophageal reflux disease also necessitate alternative feeding methods.

Purpose of the Study:

  • To evaluate the outcomes of gastrostomy tube insertion and button tube replacement in pediatric patients.
  • To identify the primary indications and underlying diagnoses for gastrostomy tube placement.

Main Methods:

  • Retrospective analysis of 34 pediatric patients who underwent gastrostomy tube insertion.
  • Focus on the transition from long tubes to button gastrostomies and associated outcomes.

Main Results:

  • 18 out of 34 patients were male, with neurological impairment being the most common indication (63%).
  • Laparotomy with gastrostomy was the preferred surgical approach (60%).
  • 50% of patients experienced no complications following button tube replacement.

Conclusions:

  • Button gastrostomy is a safe and effective alternative for children needing long-term enteral nutrition.
  • The procedure is particularly beneficial for those with neurological disorders and prolonged nasogastric tube dependence.
  • Fewer complications are associated with button tube replacement compared to long tubes.
Abstract

More Related Videos

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

1.3K

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
535
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
843
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
2.0K
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
283
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
583
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
421