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[Gastropexy supported single-step button gastrostomy - clinical results of a new technique for percutanous feeding tube implantation].
Z Gastroenterol. 2009 Aug; 47(8):740-3.ZG

Abstract

BACKGROUND

Skin-level gastrostomy devices have been established to maintain enteral nutrition in clinical practice. Unfortunately there is still a need for a second intervention to place the secondary system. The combination of a new introducer technique with endoscopic controlled gastropexy for PEG and the primary placement of a button system leads to a safe stomal fixation of the balloon device. The aim of this study was to evaluate for the first time the safety of this combined approach.

METHODS

Between 2000 and 2005 five patients were treated with this new technique and received a single-step button gastrostomy. All patients were followed with a standardised protocol.

RESULTS

No major complications were seen during follow-up. The system could be removed within 6 - 18 weeks without any problems.

CONCLUSIONS

On the basis of our first experience we conclude that by combination of the three techniques, introducer PEG with gastropexy, Seldinger wire, and balloon-type button, a single-step button gastrostomy can be safely performed.

Authors+Show Affiliations

Medizinische Klinik, Krankenhaus Holweide, Kliniken der Stadt Köln gGmbH, Akadem. Lehrkrankenhaus der Universität zu Köln, 51067 Köln.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ger

PubMed ID

19662585

Citation

Dormann, A J., et al. "[Gastropexy Supported Single-step Button Gastrostomy - Clinical Results of a New Technique for Percutanous Feeding Tube Implantation]." Zeitschrift Fur Gastroenterologie, vol. 47, no. 8, 2009, pp. 740-3.
Dormann AJ, Aymaz S, Malfertheiner P. [Gastropexy supported single-step button gastrostomy - clinical results of a new technique for percutanous feeding tube implantation]. Z Gastroenterol. 2009;47(8):740-3.
Dormann, A. J., Aymaz, S., & Malfertheiner, P. (2009). [Gastropexy supported single-step button gastrostomy - clinical results of a new technique for percutanous feeding tube implantation]. Zeitschrift Fur Gastroenterologie, 47(8), 740-3. https://doi.org/10.1055/s-0028-1109259
Dormann AJ, Aymaz S, Malfertheiner P. [Gastropexy Supported Single-step Button Gastrostomy - Clinical Results of a New Technique for Percutanous Feeding Tube Implantation]. Z Gastroenterol. 2009;47(8):740-3. PubMed PMID: 19662585.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Gastropexy supported single-step button gastrostomy - clinical results of a new technique for percutanous feeding tube implantation]. AU - Dormann,A J, AU - Aymaz,S, AU - Malfertheiner,P, Y1 - 2009/08/06/ PY - 2009/8/8/entrez PY - 2009/8/8/pubmed PY - 2009/10/22/medline SP - 740 EP - 3 JF - Zeitschrift fur Gastroenterologie JO - Z Gastroenterol VL - 47 IS - 8 N2 - BACKGROUND: Skin-level gastrostomy devices have been established to maintain enteral nutrition in clinical practice. Unfortunately there is still a need for a second intervention to place the secondary system. The combination of a new introducer technique with endoscopic controlled gastropexy for PEG and the primary placement of a button system leads to a safe stomal fixation of the balloon device. The aim of this study was to evaluate for the first time the safety of this combined approach. METHODS: Between 2000 and 2005 five patients were treated with this new technique and received a single-step button gastrostomy. All patients were followed with a standardised protocol. RESULTS: No major complications were seen during follow-up. The system could be removed within 6 - 18 weeks without any problems. CONCLUSIONS: On the basis of our first experience we conclude that by combination of the three techniques, introducer PEG with gastropexy, Seldinger wire, and balloon-type button, a single-step button gastrostomy can be safely performed. SN - 1439-7803 UR - https://www.unboundmedicine.com/medline/citation/19662585/[Gastropexy_supported_single_step_button_gastrostomy___clinical_results_of_a_new_technique_for_percutanous_feeding_tube_implantation]_ DB - PRIME DP - Unbound Medicine ER -