Button gastrostomy

Recently, different types of tubes have been used more widely in order to try to avoid the problem of displacement (Fig. 11.18). Balloon replacement tubes which are designed like a short Foley urinary bladder catheter can be inserted using a similar technique as described above. It is also possible to place a low-profile gastrostomy ( button gastrostomy ) directly during the initial procedure (Given et al. 2004). 

Lees NP, Reid F, Lee SH et al. (2003) Distal small bowel obstruction caused by a migrated self expanding metal oesophageal stent. Eur J Surg [Suppl] 66-68 Lyon SM, Haslam PJ, Duke DM et al. (2003) De novo placement of button gastrostomy catheters in an adult population experience in 53 patients. J Vase Interv Radiol 14 1283-1289... 

Fig. 11.20. a Low-profile gastrostomy devices A, 12-Fr/1.7-cm MicKey button (Vygon) B, 14-Fr/3-cm Cubby button (Merck, Leicester, UK). C, 16-Fr /2-cm MicKey Button-jeju-nostomy (Vygon). b Cubby button mounted on a 6-Fr vascular dilator prior to insertion, c Cubby button immediately after insertion... 

Gockel 1, Junginger T, Bernhard G et al. (2004) Heller myotomy for failed pneumatic dilation in achalasia how effective is it Ann Surg 239 371-377 Griffiths M (1996) Single-stage percutaneous gastrostomy button insertion a leap forward. JPEN J Parenter Enteral Nutr 20 237-239... 

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