Feeding gastrostomy button: Experience and recommendations

Gauderer, Michael W.L.; Olsen, Margaret M.; Stellato, Thomas A.; Dokler, Maryanne L.

doi:10.1016/s0022-3468(88)80533-5

Cited by 71 publications

(15 citation statements)

References 4 publications

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“…The first gastrostomy buttons were introduced in the late 1980s [3]. These devices were initially meant to be used to replace the gastrostomy tube after the tract was well healed, ∼2 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

Primary laparoscopic placement of gastrostomy buttons for feeding tubes

1999

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Section: Discussionmentioning

confidence: 99%

Primary laparoscopic placement of gastrostomy buttons for feeding tubes

1999

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“…This feeding button replaces the conventional long-term gastrostomy feeding tube with a silicone rubber device inserted as a one-way valve at skin level in the child's abdominal wall. The valve allows the external feeding tube to be inserted and removed with ease, making it possible for the tube to be present only when the child is being fed [11,23,24] 9 The "button" is intcnded primarily for use in an established gastrostomy. There is less skin irritation and infection, and less risk of leakage and refux of gastric contents than has been reported with the more standard gastrostomy tube [24].…”

Section: Nasogastric Tube Versus Gastrostomy Feedingsmentioning

confidence: 99%

Development of oral-motor skills in the neurologically impaired child receiving non-oral feedings

Morris

1989

Dysphagia

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Treatment of children with swallowing dysfunction requires a holistic approach based on a global view of their problems and needs. The connection of the swallowing mechanism with the sensorimotor organization of postural tone and movement throughout the body is a critical factor in the evaluation and treatment of children whose dysphagia is rooted in a neurologic disorder. An appropriate program includes work with the development of movement skills, sensory processing, learning, social skills, and communication. The initial focus is placed on oral-motor treatment, rather than direct work on oral feeding. The primary goal of the program is to develop the appropriate use of the mouth, respiratory, and phonatory systems in exploration, sound play, and as much oral feeding as possible. Oral feeding is the by-product of a total program, not its major goal.

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“…The use of a percutaneous gastrostomy tube (PEG) obviates the need for a laparotomy [1, 2]. The technique is associated with the same complications, along with the risk of inadvertent bowel injury due to a blind puncture through the abdominal cavity [3–5].…”

Section: Introductionmentioning

confidence: 99%

Literature Review Comparing Laparoscopic and Percutaneous Endoscopic Gastrostomies in a Pediatric Population

Lantz

Larsson

Arnbjörnsson

2010

International Journal of Pediatrics

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Objective. This study compares laparoscopic and percutaneous endoscopic gastrostomy (PEG) in a paediatric population to test the hypothesis that there is a difference in the frequency of serious gastrointestinal complications between the two methods. Methods. All reports published between 1995 and 2009 on laparoscopic gastrostomy and PEG in children was included. Prospective and retrospective trials, comparing the two methods or dealing with one of them only were included. Endpoints were accidentally performed gastrointestinal fistula causing an emergency re-operation. The frequency of inadvertent gastroenteric fistulas using the two different techniques was calculated. Results. 822 publications were found when using the search terms: gastrostomy, gastrointestinal complications, and all child: 0–18 years. From these, 54 studies were extracted for this investigation. These studies reported a total of 4331 children undergoing gastrostomy operation, 1027 by using the laparoscopic technique and 3304 using the PEG technique. The number of serious gastrointestinal fistulas to colon or small bowel was 0% and .27%, respectively, P < .05. Conclusions. The results suggest that by performing laparoscopic gastrostomy in children it is possible to avoid the serious intestinal fistula complications caused by a blind puncture through the abdominal cavity when performing the PEG.

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Feeding gastrostomy button: Experience and recommendations

Cited by 71 publications

References 4 publications

Primary laparoscopic placement of gastrostomy buttons for feeding tubes

Primary laparoscopic placement of gastrostomy buttons for feeding tubes

Development of oral-motor skills in the neurologically impaired child receiving non-oral feedings

Literature Review Comparing Laparoscopic and Percutaneous Endoscopic Gastrostomies in a Pediatric Population

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