Sage Journals: Discover world-class research

Abstract

Objective: The usefulness of skin level gastrostomy tubes (button systems) for maintaining nutrition support after primary insertion of percutaneous endoscopic gastrostomy (PEG) is widely accepted. Technical and usability problems have forced the development of new systems. The experience with a newly developed skin-level gastrostomy system (Freka-Button Gastrostomy) in oncological patients is described. Methods: In a cohort study we prospectively evaluated for ease of use, complications, and time to failure, a modified balloon button system based on the MIC-Key type. It differs from other systems by its application mode and balloon design. Since February 1998, 18 systems were applied in 15 patients (median age 56 years, 42 to 72 years, 14 men, 1 woman). Results: Correct application of the 18 buttons in 15 individuals was easy and fast to perform (median intervention time 10.8 minutes). During follow-up (median 201, range 2 to 590 days) 1 button was removed because of the patient's decision, 2 others had to be renewed because of technical problems, and no major complication occurred. Conclusions: The new Freka-button system provides an easy-to-use, safe, and feasible alternative for long-term use of skin-level gastrostomy tubes in oncological patients.

Get full access to this article

View all access options for this article.

References

1. Gauderer MWL , Ponsky JL , Izant RJ Jr.

Gastrostomy without laparotomy: A percutaneous technique.

J Pediatr Surg 15:872–875, 1980

2. Schapiro, G. D. , Edmundowicz, S. A. , Complications of percutaneous gastrostomy. Gastrointest Endose Clin N Am 6:409–422, 1996

3. Gauderer MWL , Picha GJ , Izant RJ.

The gastrostomy “button”—a simple, skin-level, nonrefluxing device for long-term enteral feeding.

J Pediatr Surg 19:803–805, 1984

4. Faller, N. A. , Ferrano, C. , Bagley, F. , The MIC-KEY. Ostomy Wound Manage 38:50–53, 1992

5. Romero, R. , Martinez, F. L. , Robinson SYJ , et al. Complicated PEG-to-skin level gastrostomy conversions: Analysis of risk factors for tract disruption. Gastrointest Endose 44:230–234, 1996

6. Dormann, A. J. , Wigginghaus, B. , Gr“unewald T , et al. Freka Button Gastrostomy. Dtsch Med Wschr 124:1204–1205, 1999

7. McQuaid, K. R. , Little, T. , Two fatal complications related to gastrostomy “button” placement. Gastrointest Endose 38:601–603, 1992

8. Elitsur, Y.

MIC-Key skin-level-gastrostomy: A short-term device.

Am J Gastroenterol 91:1284, 1996

9. Foutch, P. G. , Talbert, G. A. , Gaines, J. A. , et al. The gastrostomy button: A prospective assessment of safety, success, and spectrum of use. Gastrointest Endose 35:41–44, 1989

10.

10. Dormann, A. J. , Wigginghaus, B. , Risius, H. , et al. A single dose of ceftriaxone administered 30 minutes before percutaneous endoscopic gastrostomy (PEG) significantly reduces local and systemic-infective complications. Am J Gastroenterol 94:3220–3224, 1999

11.

11. Haas-Beckert B , Heymann MB.

Comparison of two skin-level gastrostomy feeding tubes for infants and children.

Pediatr Nurs 19:351–364, 1993

12.

12. Borge, M. A. , Vesely, T. M. , Picus, D. , Gastrostomy button placement through percutaneous gastrostomy with fluoroscopic guidance: Experience in 27 children. J Vasc Interv Radiol 6:179–183, 1995

13.

13. Arnbj“ornsson E , Jakobsson I , Larsson LT.

Gastrostomy button causing perforation of the posterior gastric wall.

Acta Paediatr 87:1203–1204, 1998

14.

14. Hellstern, P. A. , Netchvolodoff, C. V. , Qureshi, W. A. , Long term complication of button gastrostomy tube. J Ark Med Soc 93:269–270, 1996

15.

15. Peitgen, K. , Walz, M. K. , Schlensak, M. , et al. Erfahrungen mit einem Ventilknopfsystem bei endoskopischen und chirurgischen Gastrostomien. Zentralbl Chir 122:34–38, 1997

Skin-Level Gastrostomy Using a Novel Balloon-Type Device—Long-Term Results in Oncological Patients

Abstract

Get full access to this article

References