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Related Experiment Videos

Placement of a feeding button ("one-step button") as the initial procedure

D R Ferguson1, J M Harig, R A Kozarek

  • 1Cleveland Clinic Foundation, Ohio.

The American Journal of Gastroenterology
|April 1, 1993
PubMed
Summary

A new one-step button placement procedure offers a safe and rapid method for creating low-profile percutaneous endoscopic gastrostomy (PEG) access. This technique effectively addresses common PEG tube issues like clogging and bulkiness.

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Procedures
  • Medical Device Technology

Background:

  • Percutaneous endoscopic gastrostomy (PEG) is the standard for enteral feeding access.
  • Standard PEG tubes present challenges including clogging, stomal enlargement, and external bulk.
  • Button replacement tubes offer a low-profile alternative to traditional PEG tubes.

Purpose of the Study:

  • To describe a novel single-step procedure for placing PEG button tubes.
  • To evaluate the early experience and outcomes of this one-step button placement technique.

Main Methods:

  • A single-step, over-the-wire, "push" procedure for PEG button placement was utilized.
  • Sixty-nine PEG buttons were placed, with indications including neurologic conditions (61%) and cancer (32%).

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Main Results:

  • Successful insertion without difficulty was achieved in 71% of cases.
  • The procedure was unsuccessful in only 3% of patients.
  • A high safety profile was observed, with 90% of patients experiencing no complications within 3 weeks. Serious complications occurred in only 3% of patients.

Conclusions:

  • The One-Step Button procedure is a rapid and safe method for establishing low-profile PEG access.
  • This technique effectively mitigates the disadvantages associated with standard PEG tubes.