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Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

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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
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Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

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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...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Inflammatory Bowel Disease V: Surgical Management01:21

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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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:
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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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Related Experiment Video

Updated: Sep 22, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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To Button or Not to Button? Primary Gastrostomy Tubes Offer No Significant Advantage Over Buttons.

Hector Osei1, Armando Salim Munoz-Abraham1, Alice Martino2

  • 1Department of Pediatric Surgery, SSM Health Cardinal Glennon Children's Hospital, St. Louis, MO, USA.

Pediatric Gastroenterology, Hepatology & Nutrition
|May 25, 2022
PubMed
Summary
This summary is machine-generated.

Primary gastrostomy tubes (G-tubes) and gastrostomy buttons (G-buttons) show similar outcomes in pediatric patients. This study found no significant difference in overall, minor, or major complications between G-tubes and G-buttons.

Keywords:
ButtonsGastrostomyNutritionPediatricTubes

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Devices

Background:

  • Gastrostomy tubes are essential for nutritional support in pediatric patients.
  • The choice between gastrostomy tubes (G-tubes) and gastrostomy buttons (G-buttons) for primary placement has not been clearly established.
  • Understanding complication rates is crucial for optimizing patient care.

Purpose of the Study:

  • To compare the outcomes and complication rates of primary gastrostomy tubes versus gastrostomy buttons in pediatric patients.
  • To test the hypothesis that primary G-tubes result in fewer complications than G-buttons.

Main Methods:

  • A retrospective review of 265 pediatric patients who underwent surgically placed gastrostomy device insertion between 2010 and 2017.
  • Patients were categorized into primary G-tube and primary G-button groups.
  • Data on demographics, outcomes, and 90-day postoperative complications were collected and analyzed.

Main Results:

  • The study included 265 pediatric patients: 80 (30.2%) received primary G-tubes and 185 (69.8%) received primary G-buttons.
  • Overall complication rates within 90 days were not significantly different between the groups (G-tube 63.8% vs. G-button 55.7%, p=0.192).
  • There were no significant differences in major complication rates between the primary G-tube and G-button groups (5% vs. 4%, p=0.455).

Conclusions:

  • Primary gastrostomy tubes do not offer a significant advantage over gastrostomy buttons in terms of overall, minor, or major complications in pediatric patients.
  • The findings suggest that either device can be chosen for primary placement without a significant difference in short-term surgical outcomes.
  • Further research may explore long-term outcomes and patient/family preferences.