Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience
Joint Authors
Haider, Fayza
Isa, Hasan Mohamed Ali
Al Awadhi, Mohamed Amin
Ayoub, Barrak
Bakhsh, Ezat
Al Aradi, Husain
Juma, Shahraban Abdulla
Source
International Journal of Pediatrics
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-10-09
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background and Objective.
Gastrostomy tube insertion is one of the most common procedures performed as a radical choice to overcome feeding difficulty in children.
This study is aimed at describing the replacement of a button tube instead of the long tube for feeding infants and children requiring gastrostomies in a tertiary care hospital.
Design and Setting.
This retrospective cross-sectional descriptive study was conducted between January 2009 and August 2019 at Salmaniya Medical Complex which is a tertiary health care institute in the Kingdom of Bahrain.
Subjects and Methods.
Both charts and electronic health records of pediatric patients between the ages of 0 and 14 years were reviewed.
Data were collected including age, sex, nationality, diagnosis, surgical information (procedure center and procedure performed), complications, and follow-up.
Results.
Out of 34 patients who underwent gastrostomy tube insertion, 30 patients had their long tube replaced by a button gastrostomy.
Majority were males (N=18, 60%).
Prolonged nasogastric tube feeding was the main indication of referral (N=17, 56%) followed by feed intolerance (N=6, 17%) and gastroesophageal reflux disease (N=5, 16%).
The main underlying diseases at referral were neurological impairment (N=19, 63%) and metabolic disorders (N=4, 13%).
There was no significant difference between patients with neurological disorders and other diseases in terms of gender, nationality, or age.
Laparotomy with gastrostomy is the main approach used (N=18, 60%).
No reported complications of button tubes in 50% of the patients (N=15).
Conclusions.
Prolonged nasogastric tube feeding is the main indication of referral for gastrostomy tube insertion.
Neurological disorders are the main diagnosis for the cases operated upon.
Laparotomy with gastrostomy is the procedure of choice at our center.
Majority of patients had no reported complications of button tube replacement.
These children are likely to benefit from the button tube with fewer complications.
American Psychological Association (APA)
Haider, Fayza& Isa, Hasan Mohamed Ali& Al Awadhi, Mohamed Amin& Ayoub, Barrak& Bakhsh, Ezat& Al Aradi, Husain…[et al.]. 2020. Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience. International Journal of Pediatrics،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1173614
Modern Language Association (MLA)
Haider, Fayza…[et al.]. Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience. International Journal of Pediatrics No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1173614
American Medical Association (AMA)
Haider, Fayza& Isa, Hasan Mohamed Ali& Al Awadhi, Mohamed Amin& Ayoub, Barrak& Bakhsh, Ezat& Al Aradi, Husain…[et al.]. Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience. International Journal of Pediatrics. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1173614
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173614