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Related Experiment Videos

One-stage gastrostomy button: an assessment

M T Marion1, T N Zweng, W E Strodel

  • 1Department of Surgery, Chandler Medical Center, University of Kentucky, Lexington.

Endoscopy
|October 1, 1994
PubMed
Summary
This summary is machine-generated.

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One-stage gastrostomy button (GB) placement is a safe and feasible procedure for patients needing enteral feeding. This method avoids a two-stage process, offering convenience and comparable complication rates to standard percutaneous endoscopic gastrostomy (PEG).

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Medical Devices

Background:

  • Gastrostomy buttons (GBs) are skin-level devices for enteral feeding, preferred by ambulatory patients.
  • Traditional GB placement requires a mature gastrocutaneous tract, necessitating a two-stage procedure.
  • A one-stage approach could simplify GB insertion.

Purpose of the Study:

  • To evaluate the safety and feasibility of one-stage gastrostomy button placement.
  • To assess complication rates and usability of the one-stage procedure.

Main Methods:

  • A prospective study involving 24 patients undergoing one-stage gastrostomy button placement.
  • Monitoring for placement difficulties, periprocedural complications, and long-term outcomes.
  • Tracking device dwell time, reasons for removal, and complications.

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Main Results:

  • Successful placement in all 24 patients with no periprocedural complications.
  • Mean dwell time of 71 days (range 14-148 days); 13 GBs remained in place at follow-up.
  • Four complications (17%) occurred: two clogged tubes, one colocutaneous fistula, and one migrated tube; all resolved without sequelae.

Conclusions:

  • One-stage gastrostomy button placement is a safe and feasible alternative to traditional two-stage procedures.
  • The complication rate is comparable to standard percutaneous endoscopic gastrostomy (PEG) insertion.
  • This method offers convenience for patients and clinicians without compromising safety.