Experience with a new technique of primary gastrostomy button placement in association with the Nissen fundoplication.
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.
Freeman
J K
JK
Department of Paediatric Surgery, Women's and Children's Hospital, North Adelaide, SA 5006, Australia.
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