Tags

Type your tag names separated by a space and hit enter

[Skin-level gastrostomy -- long-term results from a prospective trial in gastric and jejunal application].
Z Gastroenterol. 2004 Nov; 42(11):1283-8.ZG

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. After first promising experiences with newly developed skin-level gastrostomy system (Freka-Button Gastrostomy) the safety and long-term stability of this new tube was not defined.

MATERIAL AND METHODS

In a cohort study we prospectively evaluated from 2.1998 until 12.2001 for ease of use, complications, time to failure and long-term follow-up of 61 Freka button gastrostomies inserted in 50 patients (mean age 57.6 years, range 6 - 78 years, 44 men, 6 women). Mean time after primary PEG placement was 6.3 months (range 1 - 30 months).

RESULTS

Correct application of all buttons (48 gastric, 2 jejunal) was easy and fast (median time 11 minutes) to perform. In 56 % we used a new Seldinger guide wire technique to improve stomal passage. Within the first ten days and during long-term follow-up (median 248, range 2 - 593 days) no major complication was seen. 11 systems had to be replaced mainly due to balloon failure (median 352, range 186 - 593 days). The total observation time were 15,128 days with a system failure rate of 0.26 per year.

CONCLUSION

The Freka-button systems provides an easy-to-use, safe, and feasible alternative for long-term use of skin-level gastrostomy. First jejunal application of this new device was promising but needs further evaluation.

Authors+Show Affiliations

Medizinische Klinik, Klinikum Minden, Minden. arno.dormann@klinikum-minden.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

15558437

Citation

Dormann, A J., et al. "[Skin-level Gastrostomy -- Long-term Results From a Prospective Trial in Gastric and Jejunal Application]." Zeitschrift Fur Gastroenterologie, vol. 42, no. 11, 2004, pp. 1283-8.
Dormann AJ, Deppe H, Kahl S, et al. [Skin-level gastrostomy -- long-term results from a prospective trial in gastric and jejunal application]. Z Gastroenterol. 2004;42(11):1283-8.
Dormann, A. J., Deppe, H., Kahl, S., Wejda, B., & Malfertheiner, P. (2004). [Skin-level gastrostomy -- long-term results from a prospective trial in gastric and jejunal application]. Zeitschrift Fur Gastroenterologie, 42(11), 1283-8.
Dormann AJ, et al. [Skin-level Gastrostomy -- Long-term Results From a Prospective Trial in Gastric and Jejunal Application]. Z Gastroenterol. 2004;42(11):1283-8. PubMed PMID: 15558437.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Skin-level gastrostomy -- long-term results from a prospective trial in gastric and jejunal application]. AU - Dormann,A J, AU - Deppe,H, AU - Kahl,S, AU - Wejda,B, AU - Malfertheiner,P, PY - 2004/11/24/pubmed PY - 2005/4/1/medline PY - 2004/11/24/entrez SP - 1283 EP - 8 JF - Zeitschrift fur Gastroenterologie JO - Z Gastroenterol VL - 42 IS - 11 N2 - 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. After first promising experiences with newly developed skin-level gastrostomy system (Freka-Button Gastrostomy) the safety and long-term stability of this new tube was not defined. MATERIAL AND METHODS: In a cohort study we prospectively evaluated from 2.1998 until 12.2001 for ease of use, complications, time to failure and long-term follow-up of 61 Freka button gastrostomies inserted in 50 patients (mean age 57.6 years, range 6 - 78 years, 44 men, 6 women). Mean time after primary PEG placement was 6.3 months (range 1 - 30 months). RESULTS: Correct application of all buttons (48 gastric, 2 jejunal) was easy and fast (median time 11 minutes) to perform. In 56 % we used a new Seldinger guide wire technique to improve stomal passage. Within the first ten days and during long-term follow-up (median 248, range 2 - 593 days) no major complication was seen. 11 systems had to be replaced mainly due to balloon failure (median 352, range 186 - 593 days). The total observation time were 15,128 days with a system failure rate of 0.26 per year. CONCLUSION: The Freka-button systems provides an easy-to-use, safe, and feasible alternative for long-term use of skin-level gastrostomy. First jejunal application of this new device was promising but needs further evaluation. SN - 0044-2771 UR - https://www.unboundmedicine.com/medline/citation/15558437/[Skin_level_gastrostomy____long_term_results_from_a_prospective_trial_in_gastric_and_jejunal_application]_ L2 - https://www.thieme-connect.com/DOI/DOI?10.1055/s-2004-813782 DB - PRIME DP - Unbound Medicine ER -