title: Experience with a new technique of primary gastrostomy button placement in association with the Nissen fundoplication.
abstract: The tube gastrostomy has always been associated with significant morbidity, mainly because of difficulty in immobilisation, resultant dislodgement, and problems with replacement. Between January and October 1994, we employed a method of primary button gastrostomy in 18 patients with excellent results. Complications have been minimal. There has been no incidence of intra-peritoneal gastric leakage, wound infection, or button dislodgement. Two patients have had peristomal ulceration.
authors.affiliation: Department of Paediatric Surgery, Women's and Children's Hospital, North Adelaide, SA 5006, Australia.
authors.forename: J K
authors.initials: JK
authors.lastname: Freeman
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D013536:Suture Techniques