[Experiences with a vent button system in endoscopic and surgical gastrostomy].
BACKGROUND
In all variants of surgical or endoscopic gastrostomies, the abdominal wall is penetrated by a catheter. This reduces life-quality and often induces complications in gastrostomies.


METHODS
In a prospective trial, an anti-refluxive replacement button was applied as a catheter-substitute in 45 patients after conventional, laparoscopic and percutaneous-endoscopic gastrostomies.


RESULTS
In 1 of 45 patients the button was falsely inserted, only two patients experienced minor local infections of the stoma. No further major complications were noted. The average usage-time is 6.3 +/- 4.9 [1-17] months, the rate of complications in 100 days is 0.06.


CONCLUSIONS
The gastrostomy replacement button is safely applicable and improves clearly the comfort of gastrostomies with a low complication rate.
Peitgen
K
K
Abteilung für Allgemeine Chirurgie, Chirurgischen Klinik, Universität-GHS-Essen.
Schlensak
M
M
Krause
U
U
Hellinger
A
A
Walz
M K
MK
D000293:Adolescent; D000328:Adult; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D004750:Enteral Nutrition / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D020706:Laparoscopes; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control