Gastrostomy button conversion into a combined gastric and jejunal access device☆
Abstract
Purpose: The aim of this report is to describe the conversion of a gastrostomy button into a combined gastric decompression and jejunal feeding device.
Methods: In this technique two 9.6F single-lumen central venous silicone rubber catheters are threaded through the shaft of a 24F gastrostomy button. The longer limb is guided into the jejunum, and the shorter one rests in the stomach. The remaining space in the shaft is filled with silicone rubber paste.
Results: The approach was successfully used in seven neurologically impaired children.
Conclusion: This arrangement provides effective palliative gastric and jejunal access.
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Department of Pediatric Surgery, The Children's Hospital, Greenville Hospital System, Greenville, SC, USA.
Address reprint requests to Michael W.L. Gauderer, MD, Chief, Department of Pediatric Surgery, The Children's Hospital, Greenville Hospital System, 890 West Faris Rd, MMOB Suite 440, Greenville, SC 29605.
☆ Presented at the 29th Annual Meeting of the American Pediatric Surgical Association, Hilton Head, South Carolina, May 10–13, 1998.
ABSTRACT