Surgical Endoscopy

, Volume 13, Issue 10, pp 995–997

Primary laparoscopic placement of gastrostomy buttons for feeding tubes

A safer and simpler technique
  • S. S. Rothenberg
  • J. F. Bealer
  • J. H. T. Chang
Article

DOI: 10.1007/s004649901154

Cite this article as:
Rothenberg, S., Bealer, J. & Chang, J. Surg Endosc (1999) 13: 995. doi:10.1007/s004649901154

Abstract

Background: During a 4-year period, 240 gastrostomy buttons were placed in children, as the initial surgical feeding tube, using laparoscopic techniques.

Materials and methods: The technique requires the use of a minilaparoscope (1.6-mm) and a single 5-mm trocar placed at the exit site for the gastrostomy button. It can also be performed in addition to a laparoscopic fundoplication using the same trocar sites. The technique requires no special instrumentation or kits. When performed alone, operative times average 15 min. When performed with fundoplication, it adds ∼5–10 min to the time for the procedure.

Results: There were no intraoperative complications and five (2.1%) postoperative complications.

Conclusions: This technique has proven to be simple and effective. It allows primary placement of a gastrostomy button that is cosmetically and functionally superior to a gastrostomy tube.

Key words: Feeding tube — Gastrostomy button — Laparoscopy — Percutaneous endoscopic gastrostomy (PEG) — Stomach

Copyright information

© Springer-Verlag New York Inc. 1999

Authors and Affiliations

  • S. S. Rothenberg
    • 1
  • J. F. Bealer
    • 1
  • J. H. T. Chang
    • 1
  1. 1.The Hospital for Infants and Children at P/SL, Denver, CO 80218, USAUSA