Skin level gastrostomies and jejunostomies were used in 17 patients for long-term enteral feeding. These devices offer greater comfort to the patient and less potential complications and dysfunction compared to tube gastrostomies and jejunostomies. Placement of the skin level devices requires "mature" gastrocutaneous and jejunocutaneous fistulas. These fistulas can be created by initial placement of percutaneous endoscopic gastrostomies and jejunostomies. (Journal of Parenteral and Enteral Nutrition13:648-650, 1989)
Shike M., Schroy P., Morse R., Ritchie MA: Percutaneous endoscopic jejunostomy in cancer patients with previous gastric resection. Gastroenterol Endoscop33:372-374, 1987
3.
Shike M., Berner YN, Gerdes H., et al: Percutaneous endoscopic gastrostomy and jejunostomy for long-term enteral feeding in patients with cancer of the head and neck. Otolaryngol Head Neck Surg (in press) 1989,
4.
Gauderer MWL , Picha GJ, Izant RJ: The gastrostomy "button"-a simple, skin-level, nonrefluxing device for long-term enteral feedings. J Pediatr Surg19:803-805, 1984
5.
Redo FS, Barnes WA: Gastrostomy with a prosthesis. Surgery61:320-324, 1967
