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Mervyn Griffiths - One of the best experts on this subject based on the ideXlab platform.
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Single stage Percutaneous Rapid INsertion of a Gastrostomy Button (SPRING) technique: A retrospective study in children
Journal of Pediatric Endoscopic Surgery, 2020Co-Authors: Ahmed A. Darwish, Philip Corbett, Ann Louson, Harriet Whewell, Mervyn GriffithsAbstract:Purpose Gastrostomy Buttons are normally inserted in two stages. For children, both stages are performed under general anaesthetic (GA) in the UK. We report our 20 years experience of the SPRING technique. (Single stage, Percutaneous, Rapid INsertion of a Gastrostomy Button). Method This paper retrospectively analysed case notes of all children who underwent a SPRING procedure between 1994 and 2014 in our institute. Patient details, success of placement, recovery process and early post-operative complications were recorded. A gastroscope is passed, and two Cope Gastrointestinal Anchor Sutures positioned. A dilator and splittable sheath are passed over a guide wire, the dilator is removed and a Button inserted. Results 300 patients underwent a GA for SPRING procedure.190 had a neurological diagnosis, 39 had Cystic Fibrosis, 16 had renal failure, and 55 had miscellaneous diagnoses. The age range was 3–238 months and their weights ranged from 3.0 to 128 kg. Of 300 attempts, 287 (95.6%) were successfully inserted. 12 required a 2.5 cm mini-laparotomy to identify the stomach and in one case the procedure was abandoned. Fourteen (4.9%) had a major complication requiring a 2nd GA and seventeen (5.9%) had minor surgical complications not requiring GA. The overall complication rate was 10.8%. Conclusion SPRING technique is a simple method for single stage Gastrostomy Button insertion with an acceptable complication rate.
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Single stage Percutaneous Rapid INsertion of a Gastrostomy Button (SPRING) technique: A retrospective study in children
Journal of Pediatric Endoscopic Surgery, 2020Co-Authors: Ahmed A. Darwish, Philip Corbett, Ann Louson, Harriet Whewell, Mervyn GriffithsAbstract:Gastrostomy Buttons are normally inserted in two stages. For children, both stages are performed under general anaesthetic (GA) in the UK. We report our 20 years experience of the SPRING technique. (Single stage, Percutaneous, Rapid INsertion of a Gastrostomy Button). This paper retrospectively analysed case notes of all children who underwent a SPRING procedure between 1994 and 2014 in our institute. Patient details, success of placement, recovery process and early post-operative complications were recorded. A gastroscope is passed, and two Cope Gastrointestinal Anchor Sutures positioned. A dilator and splittable sheath are passed over a guide wire, the dilator is removed and a Button inserted. 300 patients underwent a GA for SPRING procedure.190 had a neurological diagnosis, 39 had Cystic Fibrosis, 16 had renal failure, and 55 had miscellaneous diagnoses. The age range was 3–238 months and their weights ranged from 3.0 to 128 kg. Of 300 attempts, 287 (95.6%) were successfully inserted. 12 required a 2.5 cm mini-laparotomy to identify the stomach and in one case the procedure was abandoned. Fourteen (4.9%) had a major complication requiring a 2nd GA and seventeen (5.9%) had minor surgical complications not requiring GA. The overall complication rate was 10.8%. SPRING technique is a simple method for single stage Gastrostomy Button insertion with an acceptable complication rate.
Ahmed A. Darwish - One of the best experts on this subject based on the ideXlab platform.
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Single stage Percutaneous Rapid INsertion of a Gastrostomy Button (SPRING) technique: A retrospective study in children
Journal of Pediatric Endoscopic Surgery, 2020Co-Authors: Ahmed A. Darwish, Philip Corbett, Ann Louson, Harriet Whewell, Mervyn GriffithsAbstract:Purpose Gastrostomy Buttons are normally inserted in two stages. For children, both stages are performed under general anaesthetic (GA) in the UK. We report our 20 years experience of the SPRING technique. (Single stage, Percutaneous, Rapid INsertion of a Gastrostomy Button). Method This paper retrospectively analysed case notes of all children who underwent a SPRING procedure between 1994 and 2014 in our institute. Patient details, success of placement, recovery process and early post-operative complications were recorded. A gastroscope is passed, and two Cope Gastrointestinal Anchor Sutures positioned. A dilator and splittable sheath are passed over a guide wire, the dilator is removed and a Button inserted. Results 300 patients underwent a GA for SPRING procedure.190 had a neurological diagnosis, 39 had Cystic Fibrosis, 16 had renal failure, and 55 had miscellaneous diagnoses. The age range was 3–238 months and their weights ranged from 3.0 to 128 kg. Of 300 attempts, 287 (95.6%) were successfully inserted. 12 required a 2.5 cm mini-laparotomy to identify the stomach and in one case the procedure was abandoned. Fourteen (4.9%) had a major complication requiring a 2nd GA and seventeen (5.9%) had minor surgical complications not requiring GA. The overall complication rate was 10.8%. Conclusion SPRING technique is a simple method for single stage Gastrostomy Button insertion with an acceptable complication rate.
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Single stage Percutaneous Rapid INsertion of a Gastrostomy Button (SPRING) technique: A retrospective study in children
Journal of Pediatric Endoscopic Surgery, 2020Co-Authors: Ahmed A. Darwish, Philip Corbett, Ann Louson, Harriet Whewell, Mervyn GriffithsAbstract:Gastrostomy Buttons are normally inserted in two stages. For children, both stages are performed under general anaesthetic (GA) in the UK. We report our 20 years experience of the SPRING technique. (Single stage, Percutaneous, Rapid INsertion of a Gastrostomy Button). This paper retrospectively analysed case notes of all children who underwent a SPRING procedure between 1994 and 2014 in our institute. Patient details, success of placement, recovery process and early post-operative complications were recorded. A gastroscope is passed, and two Cope Gastrointestinal Anchor Sutures positioned. A dilator and splittable sheath are passed over a guide wire, the dilator is removed and a Button inserted. 300 patients underwent a GA for SPRING procedure.190 had a neurological diagnosis, 39 had Cystic Fibrosis, 16 had renal failure, and 55 had miscellaneous diagnoses. The age range was 3–238 months and their weights ranged from 3.0 to 128 kg. Of 300 attempts, 287 (95.6%) were successfully inserted. 12 required a 2.5 cm mini-laparotomy to identify the stomach and in one case the procedure was abandoned. Fourteen (4.9%) had a major complication requiring a 2nd GA and seventeen (5.9%) had minor surgical complications not requiring GA. The overall complication rate was 10.8%. SPRING technique is a simple method for single stage Gastrostomy Button insertion with an acceptable complication rate.
J. H. T. Chang - One of the best experts on this subject based on the ideXlab platform.
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Primary laparoscopic placement of Gastrostomy Buttons for feeding tubes
Surgical Endoscopy, 1999Co-Authors: S. S. Rothenberg, J. F. Bealer, J. H. T. ChangAbstract:Background: During a 4-year period, 240 Gastrostomy Buttons were placed in children, as the initial surgical feeding tube, using laparoscopic techniques. Materials and methods: The technique requires the use of a minilaparoscope (1.6-mm) and a single 5-mm trocar placed at the exit site for the Gastrostomy Button. It can also be performed in addition to a laparoscopic fundoplication using the same trocar sites. The technique requires no special instrumentation or kits. When performed alone, operative times average 15 min. When performed with fundoplication, it adds ∼5–10 min to the time for the procedure. Results: There were no intraoperative complications and five (2.1%) postoperative complications. Conclusions: This technique has proven to be simple and effective. It allows primary placement of a Gastrostomy Button that is cosmetically and functionally superior to a Gastrostomy tube.
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Primary laparoscopic placement of Gastrostomy Buttons for feeding tubes : A safer and simpler technique
Surgical Endoscopy, 1999Co-Authors: S. S. Rothenberg, J. F. Bealer, J. H. T. ChangAbstract:Background: During a 4-year period, 240 Gastrostomy Buttons were placed in children, as the initial surgical feeding tube, using laparoscopic techniques. Materials and methods: The technique requires the use of a minilaparoscope (1.6-mm) and a single 5-mm trocar placed at the exit site for the Gastrostomy Button. It can also be performed in addition to a laparoscopic fundoplication using the same trocar sites. The technique requires no special instrumentation or kits. When performed alone, operative times average 15 min. When performed with fundoplication, it adds ∼5–10 min to the time for the procedure. Results: There were no intraoperative complications and five (2.1%) postoperative complications. Conclusions: This technique has proven to be simple and effective. It allows primary placement of a Gastrostomy Button that is cosmetically and functionally superior to a Gastrostomy tube.
W E Strodel - One of the best experts on this subject based on the ideXlab platform.
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one stage Gastrostomy Button an assessment
Endoscopy, 1994Co-Authors: M T Marion, T N Zweng, W E StrodelAbstract:Several types of Gastrostomy tube are available. The Gastrostomy Button (GB) is a skin-level device that is easily used and acceptable to ambulatory patients. Previously, GB required the presence of a mature gastrocutaneous tract, necessitating a two-stage procedure for placement. We report our experience with one-stage GB placed in 24 patients. No difficulties with placement and no periprocedural complications occurred. GBs remained in place from 14 to 148 days (mean 71 days). Thirteen GBs were in place at follow-up. Four patients died from primary disease. Seven GBs were no longer needed, and were removed. No stomal infections occurred; no GBs were inadvertently removed; all GBs were convenient to use. Four complications occurred (17%): two tubes clogged, one colocutaneous fistula developed, and one tube migrated from the stomach into the abdominal wall. Complications were corrected without sequelae. One-stage GB is safe and feasible with comparable complication rates to standard PEG.
Tat Hin Ong - One of the best experts on this subject based on the ideXlab platform.
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Gastrostomy Button: clinical appraisal.
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2000Co-Authors: Ravit Ruangtrakool, Tat Hin OngAbstract:RAVIT RUANGTRAKOOL, M.D.*, TAT HIN ONG, M.D.** We retrospectively studied all Gastrostomy Buttons inserted in the Royal Children's Hospital, Brisbane between 1988 and 1995. One hundred and thirty-two patients (M = 60, F=72) and 388 Buttons were analysed. Intellectual handicap and cystic fibrosis comprised the majority of patients. Thirty-three patients had Gastrostomy Buttons inserted primarily, whereas, 99 patients received Gastrostomy Buttons inserted into matured Gastrostomy stoma. The average longevity of all determined Buttons (n = 280) was 360.43 days (SD = 310.24 ). The first Buttons inserted primarily (n = 25) had longer longevity than the first Buttons inserted into matured Gastrostomy stoma (n = 82) with statistical significance. The average longevity of subsequent Buttons was significantly less than the first Buttons. Valve incompetence and leakage of gastric content around the shaft were the most common causes of Button removal. We concluded that the Gastrostomy Button is the method of choice for long term enteral feeding in children. Key word : Adult, Child, Stomach, Enteral Nutrition/Instrumentation, Enteral Nutrition/Adverse Effects, Follow-up Studies, Gastrostomy, Human, Silicone Elastomers, Intubation. Gastrointestinal
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Primary Gastrostomy Button: a means of long-term enteral feeding in children.
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2000Co-Authors: Ravit Ruangtrakool, Tat Hin OngAbstract:Between June 1992 and December 1997, forty-two patients (M 19, F 23) received 94 primary Gastrostomy Buttons due to 22 intellectual handicap, 7 cystic fibrosis, 4 severe gastro- oesophageal reflux, 2 bronchopulmonary dysplasia, 2 tumours in the neck region and 5 miscella- neous causes. Open fundoplication concomitant with primary Button, primary open Button and laparoscopic fundop1ication concomitant with primary Button were performed in 20,15 and 7 patients respectively. The average longevity +,-standard deviation of all Buttons was 388.36 +,-360.35 days. The average longevity of the Buttons of the laparoscopic fundoplication group was significantly lower than the others. The major causes of removal of Bard Buttons were valve incompetence and flap damage, whereas, balloon leakage was the major cause of removal of the Mic-key Button. There were merely minor stomal complications and no gastric separation and peritonitis. Because of the acceptable longevity of the Buttons and minimal complications, we concluded that the primary Gastrostomy Button was the preferable method of long term enteral feeding in children. Key word : Adult, Child, Stomach, Enteral Nutrition/Instrumentation, Enteral Nutrition/Adverse Effects, Follow-up Studies, Gastrostomy, Human, Silicone Elastomers, Intubation. Gastrointestinal
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Comparison between mushroom-type and balloon-type Gastrostomy Buttons.
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2000Co-Authors: Ravit Ruangtrakool, Tat Hin OngAbstract:The Gastrostomy Button has been improved rapidly over the last ten years. The gas- trostomy Button was divided into two groups. The first group had a mushroom tip and, in this study, the Bard Button represented this group. The other had a balloon as an internal stabiliser and the Mic-key Button represented this group. The authors retrospectively studied all Buttons inserted at the Royal Children's Hospital, Brisbane between 1988 and 1995. The average longevity of Bard and Mic-key Buttons were 378.82 and 259.62 days respectively. Valve incompetence was the most common cause of removal of the Bard Button (38% ), whereas, balloon rupture was the major cause of removal of Mic-key Button (44%). Each type of Gastrostomy Button had its own advan- tages and disadvantages and these special characteristics will be discussed. Key word : Adult, Child, Stomach, Enteral Nutrition/Instrumentation, Enteral Nutrition/Adverse Effects, Follow-up Studies, Gastrostomy, Human, Silicone Elastomers, Intubation, Gastrointestinal
