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Related Experiment Videos

Primary button gastrostomy: a simplified percutaneous, open, laparoscopy-guided technique

S Stylianos1, L M Flanigan

  • 1Division of Pediatric Surgery, Babies and Children's Hospital of New York, Columbia University College of Physicians & Surgeons, NY 10032, USA.

Journal of Pediatric Surgery
|February 1, 1995
PubMed
Summary

This study introduces a novel technique for primary button gastrostomy (BG) insertion in children, simplifying the procedure and reducing complications. The innovative method ensures safe and effective placement of a skin-level feeding device, improving patient outcomes.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Devices

Background:

  • Button gastrostomy (BG) insertion is often a secondary procedure.
  • Previous primary BG techniques faced challenges with device deployment.
  • Tube gastrostomy methods have associated disadvantages.

Purpose of the Study:

  • To present an innovative technique for primary button gastrostomy (BG) insertion.
  • To overcome limitations of previous primary BG and tube gastrostomy procedures.
  • To evaluate the safety and efficacy of this new primary BG technique.

Main Methods:

  • A silicon BG in a tapered peel-away sheath was used for primary insertion in 34 children.
  • Procedures included percutaneous endoscopic insertion (with laparoscopic guidance in 2 cases) and open insertion during other abdominal procedures.

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  • The tapered peel-away sheath facilitated passage through the abdominal wall.

    • Main Results:

    • Mean operative time for percutaneous primary BG was 12 minutes.
    • Patients could commence feeding within 18 hours post-insertion.
    • No serious complications were observed; minor issues like tissue reaction and leakage were reported with high patient satisfaction.

    Conclusions:

    • The innovative technique is safe and effective for primary button gastrostomy (BG) insertion.
    • It allows for a skin-level, nonrefluxing, self-retaining feeding device.
    • This method eliminates the need for secondary procedures and associated costs, potentially offering cost savings.